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General NPI Number Information
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NPI Number | 1891780318
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Entity Type | Organization
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Legal Business Name | PEARSON MALUSO MD PA
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 77 WEST UNDERWOOD ST 5TH FL
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City | ORLANDO
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State | FL
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Zip | 32806
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Country | US
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Telephone | 407-843-2130
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Fax | 407-425-3984
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Provider Business Mailing Address
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Address Line | 77 W UNDERWOOD ST 5TH FL
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City | ORLANDO
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State | FL
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Zip | 32806
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Country | US
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Telephone | 407-843-2130
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Fax | 407-425-3984
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | PENNY HORN
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Credential |
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Telephone | 407-843-2130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | FL
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