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General NPI Number Information
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NPI Number | 1356796239
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Entity Type | Individual
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Provider Name | JOSEPH CHARLES PELEJ PA-C
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Gender | Male
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Dates
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Enumeration Date | 04/28/2016
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Last Update Date | 04/28/2016
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Provider Practice Location Address
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Address Line | 222 W 39TH AVE
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City | SAN MATEO
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State | CA
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Zip | 94403-4364
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Country | US
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Telephone | 650-573-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 600 41ST AVE #3
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-2558
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Country | US
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Telephone | 951-440-9900
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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