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General NPI Number Information
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NPI Number | 1316254246
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Entity Type | Individual
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Provider Name | MICHAEL E PELCZAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 900 CATON AVE
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City | BALTIMORE
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State | MD
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Zip | 21229-5201
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Country | US
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Telephone | 410-827-8860
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Fax |
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Provider Business Mailing Address
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Address Line | 133 RIVER RUN
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City | QUEENSTOWN
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State | MD
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Zip | 21658-1642
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Country | US
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Telephone | 410-827-8860
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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 | 207ZM0300X
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Taxonomy Name | Medical Microbiology Physician
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License Number | DO9990
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License Number State | MD
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