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General NPI Number Information
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NPI Number | 1700874039
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Entity Type | Individual
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Provider Name | ELIZABETH M PEPE DO
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Gender | Female
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 206 E NEW HAVEN AVE
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City | MELBOURNE
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State | FL
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Zip | 32901-4504
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Country | US
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Telephone | 321-802-3311
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Fax | 321-802-5324
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Provider Business Mailing Address
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Address Line | 9 GALEN ST STE 240
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City | WATERTOWN
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State | MA
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Zip | 02472-4522
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Country | US
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Telephone | 857-268-3190
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Fax | 617-562-5289
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS 0005398
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License Number State | FL
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