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General NPI Number Information
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NPI Number | 1912397340
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Entity Type | Individual
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Provider Name | BARBARA PITERA M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/22/2015
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Last Update Date | 01/22/2016
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Provider Practice Location Address
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Address Line | 3411 WAYNE AVE
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City | BRONX
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State | NY
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Zip | 10467-2509
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Country | US
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Telephone | 718-920-4664
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Fax |
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Provider Business Mailing Address
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Address Line | 3411 WAYNE AVE
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City | BRONX
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State | NY
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Zip | 10467-2509
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Country | US
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Telephone | 718-920-4664
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Fax |
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25MA09481000
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License Number State | NJ
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