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General NPI Number Information
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NPI Number | 1073629978
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Entity Type | Individual
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Provider Name | DROR M PELED MD
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 08/04/2011
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Provider Practice Location Address
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Address Line | 5035 MILE STRETCH DR
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City | HOLIDAY
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State | FL
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Zip | 34690-4432
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Country | US
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Telephone | 727-944-2005
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Fax | 727-935-4879
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Provider Business Mailing Address
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Address Line | 4929 MILE STRETCH DR
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City | HOLIDAY
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State | FL
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Zip | 34690-4348
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Country | US
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Telephone | 727-944-2005
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Fax | 727-944-4080
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | ME0077763
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License Number State | FL
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