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General NPI Number Information
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NPI Number | 1104085646
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Entity Type | Organization
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Legal Business Name | FRANCIS R. PELHAM M.D., PLLC
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 09/28/2016
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Provider Practice Location Address
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Address Line | 1021 PARK AVE SUITE 105
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City | NEW YORK
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State | NY
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Zip | 10028-0959
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Country | US
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Telephone | 212-772-2400
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Fax | 212-772-2459
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Provider Business Mailing Address
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Address Line | 1021 PARK AVE SUITE 105
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City | NEW YORK
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State | NY
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Zip | 10028-0959
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Country | US
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Telephone | 212-772-2400
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Fax | 212-772-2459
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Authorized Official
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Title or Position | OWNER
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Name | MR. FRANCIS R PELHAM
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Credential | M.D.
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Telephone | 212-772-2400
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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 |
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License Number State |
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