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General NPI Number Information
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NPI Number | 1831288141
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Entity Type | Individual
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Provider Name | ELENA PEEVA MD
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | AECOM-DIV. OF RHEUMATOLOGY 1300 MORRIS PK. AVE.
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City | BRONX
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State | NY
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Zip | 10461
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Country | US
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Telephone | 718-430-2976
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Fax |
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Provider Business Mailing Address
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Address Line | 41 TARRYHILL RD
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City | TARRYTOWN
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State | NY
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Zip | 10591-6512
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Country | US
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Telephone | 718-430-2976
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Fax | 718-430-8789
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 231762
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License Number State | NY
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