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General NPI Number Information
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NPI Number | 1861618514
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Entity Type | Individual
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Provider Name | PETER A PAPPAS MD
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Gender | Male
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 04/04/2023
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Provider Practice Location Address
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Address Line | 1401 W SEMINOLE BLVD
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City | SANFORD
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State | FL
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Zip | 32771-6743
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Country | US
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Telephone | 407-321-4500
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Fax | 321-434-1667
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Provider Business Mailing Address
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Address Line | 1403 MEDICAL PLAZA DR
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City | SANFORD
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State | FL
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Zip | 32771-1000
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Country | US
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Telephone | 734-837-1349
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Fax | 321-434-1667
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME90948
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | ME90948
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License Number State | FL
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