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General NPI Number Information
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NPI Number | 1487728481
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Entity Type | Organization
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Legal Business Name | COMMUNAMED INC
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 06/30/2011
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Provider Practice Location Address
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Address Line | 8437 TUTTLE AVE 362
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City | SARASOTA
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State | FL
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Zip | 34243-2868
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Country | US
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Telephone | 239-207-7229
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Fax |
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Provider Business Mailing Address
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Address Line | 8437 TUTTLE AVE 362
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City | SARASOTA
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State | FL
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Zip | 34243-2868
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Country | US
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Telephone | 239-207-7229
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Fax |
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Authorized Official
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Title or Position | MD
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Name | HERBERT PEGUES
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Credential | MD
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Telephone | 239-207-7229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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