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General NPI Number Information
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NPI Number | 1306913876
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Entity Type | Individual
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Provider Name | EDWARD W PEARSON M.D. , ABIHM
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Gender | Male
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1201 US HIGHWAY 1 SUITE 46
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City | N PALM BEACH
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State | FL
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Zip | 33408-3550
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Country | US
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Telephone | 561-290-4325
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Fax | 561-629-7291
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Provider Business Mailing Address
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Address Line | 1201 US HIGHWAY 1 SUITE 46
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City | N PALM BEACH
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State | FL
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Zip | 33408-3550
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Country | US
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Telephone | 561-290-4325
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Fax | 561-629-7291
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME83846
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License Number State | FL
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