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General NPI Number Information
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NPI Number | 1316818735
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Entity Type | Organization
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Legal Business Name | PEDERSEN MEDICINE PLLC
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1022 MAIN ST STE A
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City | DUNEDIN
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State | FL
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Zip | 34698-5237
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Country | US
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Telephone | 727-736-6500
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Fax | 727-736-6502
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Provider Business Mailing Address
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Address Line | 1022 MAIN ST STE A
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City | DUNEDIN
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State | FL
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Zip | 34698-5237
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Country | US
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Telephone | 727-736-6500
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Fax | 727-736-6502
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL PEDERSEN
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Credential | DO
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Telephone | 352-617-5509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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