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General NPI Number Information
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NPI Number | 1770726044
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Entity Type | Individual
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Provider Name | LAURA MAUREEN PEZZUTO MD
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Gender | Female
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Dates
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Enumeration Date | 04/15/2009
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 2400 WAYNE MEMORIAL DR STE I
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City | GOLDSBORO
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State | NC
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Zip | 27534-1749
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Country | US
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Telephone | 919-587-3980
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Fax | 919-587-3981
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Provider Business Mailing Address
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Address Line | 5332 CORAL VINE LN
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City | KISSIMMEE
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State | FL
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Zip | 34758-2288
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Country | US
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Telephone | 717-739-9885
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2013-00666
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 31903
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 97529
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 84939
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME139387
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD18617
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License Number State | HI
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