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General NPI Number Information
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NPI Number | 1083606925
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Entity Type | Individual
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Provider Name | MICHAEL A PELZNER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 3551 ROGER BROOKE DR
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City | FORT SAM HOUSTON
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State | TX
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Zip | 78234-4504
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Country | US
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Telephone | 210-539-9582
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Fax |
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Provider Business Mailing Address
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Address Line | HQ, ARMY FUTURES COMMAND 210 W 7TH STREET
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City | AUSTIN
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State | TX
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Zip | 78701
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Country | US
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Telephone | 512-726-4195
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 023463
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License Number State | LA
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