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General NPI Number Information
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NPI Number | 1831319086
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Entity Type | Organization
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Legal Business Name | PEPPER FAMILY MEDICINE
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Dates
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Enumeration Date | 04/30/2007
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Last Update Date | 04/04/2023
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Provider Practice Location Address
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Address Line | 728 BROAD AVE
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City | BELLE VERNON
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State | PA
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Zip | 15012-1513
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Country | US
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Telephone | 724-929-2550
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Fax | 724-929-5676
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Provider Business Mailing Address
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Address Line | 728 BROAD AVE
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City | BELLE VERNON
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State | PA
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Zip | 15012-1513
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Country | US
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Telephone | 724-929-2550
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Fax | 724-929-5676
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. L DOUGLAS PEPPER
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Credential | MD
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Telephone | 724-929-2550
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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 | MD018219E
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License Number State | PA
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