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General NPI Number Information
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NPI Number | 1154632461
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Entity Type | Organization
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Legal Business Name | BRUCE P. PFEFFER, M.D., P.A.
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 02/02/2016
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Provider Practice Location Address
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Address Line | 9901 GLENOLDEN DR
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City | POTOMAC
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State | MD
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Zip | 20854-5004
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Country | US
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Telephone | 301-452-9229
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Fax |
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Provider Business Mailing Address
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Address Line | 9901 GLENOLDEN DR
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City | POTOMAC
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State | MD
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Zip | 20854-5004
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRUCE PAUL PFEFFER
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Credential | M.D.
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Telephone | 301-452-9229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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