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General NPI Number Information
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NPI Number | 1790198596
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Entity Type | Individual
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Provider Name | ROBERT C PEASE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2014
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 301 S 7TH AVE STE 130
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City | WEST READING
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State | PA
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Zip | 19611-1442
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Country | US
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Telephone | 484-628-4630
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Fax |
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Provider Business Mailing Address
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Address Line | 121 S HIGHLAND AVE APT 503H
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City | PITTSBURGH
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State | PA
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Zip | 15206-3980
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Country | US
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Telephone | 608-640-8675
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD475366
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License Number State | PA
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