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General NPI Number Information
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NPI Number | 1295902468
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Entity Type | Organization
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Legal Business Name | JESUS PICHARDO MD PC
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 04/16/2013
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Provider Practice Location Address
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Address Line | 1623 WEIRFIELD ST
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City | RIDGEWOOD
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State | NY
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Zip | 11385-5349
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Country | US
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Telephone | 718-456-4600
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Fax | 718-418-3549
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Provider Business Mailing Address
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Address Line | 1623 WEIRFIELD STREET
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City | RIDGEWOOD
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State | NY
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Zip | 11385
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Country | US
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Telephone | 718-456-4600
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Fax | 718-418-3549
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Authorized Official
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Title or Position | PEDIATRIC
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Name | DR. JESUS MANUEL PICHARDO
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Credential | M.D.
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Telephone | 718-456-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 188066
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License Number State | NY
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