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General NPI Number Information
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NPI Number | 1699870170
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Entity Type | Organization
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Legal Business Name | FERNANDO PUJOL MD PC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 460 13TH ST
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City | BROOKLYN
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State | NY
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Zip | 11215-5207
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Country | US
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Telephone | 718-636-7400
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Fax | 718-636-7432
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Provider Business Mailing Address
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Address Line | 460 13TH ST
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City | BROOKLYN
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State | NY
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Zip | 11215-5207
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Country | US
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Telephone | 718-636-7400
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Fax | 718-636-7432
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FERNANDO PUJOL
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Credential | MD
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Telephone | 718-636-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 163062
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License Number State | NY
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