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General NPI Number Information
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NPI Number | 1306961396
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Entity Type | Individual
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Provider Name | CAROL MARIE PELOQUIX PEIRANO MD
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 20 YORK ST YALE NEW HARVEY HOSPITAL
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City | NEW HAVEN
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State | CT
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Zip | 06510
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Country | US
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Telephone | 203-688-1276
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Fax |
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Provider Business Mailing Address
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Address Line | 41 KELSEYTOWN RD
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City | CLINTON
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State | CT
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Zip | 06413
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Country | US
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Telephone | 860-669-9590
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 032414
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License Number State | CT
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