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General NPI Number Information
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NPI Number | 1083713754
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Entity Type | Individual
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Provider Name | NANCY E PAJARO M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 01/17/2014
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Provider Practice Location Address
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Address Line | 3240 EDWARDS LAKE PKWY SUITE 208
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3117
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Country | US
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Telephone | 205-661-9001
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Fax | 256-464-9154
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Provider Business Mailing Address
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Address Line | PO BOX 381807
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City | BIRMINGHAM
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State | AL
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Zip | 35238-1807
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Country | US
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Telephone | 205-661-9001
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Fax | 256-464-9154
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 16654
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License Number State | AL
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