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General NPI Number Information
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NPI Number | 1427325117
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Entity Type | Organization
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Legal Business Name | RAMON D. PELEAUX, DDS, MD. P.A.
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Dates
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Enumeration Date | 11/23/2011
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Last Update Date | 05/10/2012
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Provider Practice Location Address
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Address Line | 3541 RANDOLPH RD 302
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City | CHARLOTTE
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State | NC
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Zip | 28211-1082
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Country | US
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Telephone | 980-224-7737
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Fax | 980-224-7769
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Provider Business Mailing Address
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Address Line | 3541 RANDOLPH RD 302
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City | CHARLOTTE
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State | NC
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Zip | 28211-1082
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Country | US
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Telephone | 980-224-7737
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Fax | 980-224-7769
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAMON DENNIS PELEAUX
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Credential | M.D., D.D.S.
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Telephone | 980-224-7737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 6073
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License Number State | NC
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