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General NPI Number Information
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NPI Number | 1306564133
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Entity Type | Organization
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Legal Business Name | PEAR VASCULAR CARE PC
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Dates
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Enumeration Date | 08/18/2022
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 2351 BEDFORD AVE
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City | BELLMORE
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State | NY
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Zip | 11710-3627
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Country | US
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Telephone | 212-433-4421
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Fax | 718-744-2742
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Provider Business Mailing Address
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Address Line | 653 VINCENT AVE
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City | BRONX
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State | NY
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Zip | 10465-1720
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Country | US
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Telephone | 212-433-4421
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Fax | 718-744-2742
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Authorized Official
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Title or Position | OWNER
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Name | VICKEN NICHAN PAMOUKIAN
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Credential | MD
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Telephone | 212-433-4421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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