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General NPI Number Information
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NPI Number | 1053569269
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Entity Type | Individual
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Provider Name | CHARLES E PAPPAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/29/2008
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 7076 VERDE WAY
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City | NAPLES
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State | FL
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Zip | 34108-6514
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Country | US
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Telephone | 215-327-5553
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Fax | 267-937-2487
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Provider Business Mailing Address
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Address Line | 7076 VERDE WAY
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City | NAPLES
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State | FL
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Zip | 34108-6514
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Country | US
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Telephone | 215-327-5553
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Fax | 267-937-2487
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME114489
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | MD016058E
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME 114489
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License Number State | FL
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