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General NPI Number Information
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NPI Number | 1851582670
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Entity Type | Organization
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Legal Business Name | ENRIQUE PELAYO MD PA
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 10/08/2020
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Provider Practice Location Address
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Address Line | 8780 SW 8TH ST
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City | MIAMI
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State | FL
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Zip | 33174-3201
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Country | US
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Telephone | 305-554-6198
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Fax | 305-554-6199
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Provider Business Mailing Address
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Address Line | 8780 SW 8TH ST
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City | MIAMI
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State | FL
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Zip | 33174-3201
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Country | US
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Telephone | 305-554-6198
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Fax | 305-554-6199
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ENRIQUE PELAYO JR.
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Credential | M.D.
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Telephone | 305-554-6198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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