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General NPI Number Information
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NPI Number | 1104167121
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Entity Type | Organization
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Legal Business Name | PEARLMAN ENDOCRINOLOGY LLC
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Dates
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Enumeration Date | 03/15/2013
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Last Update Date | 03/15/2013
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Provider Practice Location Address
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Address Line | 8903 GLADES RD SUITE K-1A
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City | BOCA RATON
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State | FL
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Zip | 33434-4074
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Country | US
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Telephone | 561-955-6111
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Fax | 561-955-6122
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Provider Business Mailing Address
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Address Line | 6278 NW 92ND AVE
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City | PARKLAND
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State | FL
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Zip | 33067-3746
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Country | US
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Telephone | 561-955-6111
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Fax | 561-955-6122
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Authorized Official
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Title or Position | OWNER
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Name | GWEN PEARLMAN
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Credential | DO
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Telephone | 561-955-6111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | OS9793
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License Number State | FL
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