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General NPI Number Information
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NPI Number | 1811949126
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Entity Type | Individual
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Provider Name | BRIAN DAVID PEPE PA
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 05/15/2012
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Provider Practice Location Address
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Address Line | 15 17 POND ROAD
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City | ALLENTOWN
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State | PA
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Zip | 18104
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Country | US
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Telephone | 610-395-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 1329 PIN OAK LN
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City | SLATINGTON
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State | PA
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Zip | 18080-1107
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Country | US
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Telephone | 610-760-2238
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA003022L
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License Number State | PA
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