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General NPI Number Information
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NPI Number | 1265092738
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Entity Type | Individual
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Provider Name | ESRA PEHLIVAN MD
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Gender | Female
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Dates
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Enumeration Date | 06/17/2019
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 2195 HARRODSBURG RD STE 2
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City | LEXINGTON
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State | KY
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Zip | 40504-3516
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Country | US
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Telephone | 859-562-1868
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Fax | 859-257-0421
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Provider Business Mailing Address
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Address Line | 1 CHILDRENS PL # 3S34
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1002
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Country | US
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Telephone | 314-454-6006
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Fax | 314-454-4102
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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 | 2019021242
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | 60149
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2024006552
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | 60149
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License Number State | KY
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