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General NPI Number Information
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NPI Number | 1942218086
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Entity Type | Individual
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Provider Name | PABLO E PEREZ MD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 07/21/2021
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Provider Practice Location Address
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Address Line | 1102 W. WAUGH ST
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City | DALTON
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State | GA
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Zip | 30720
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Country | US
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Telephone | 706-277-2321
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Fax | 706-428-2812
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Provider Business Mailing Address
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Address Line | 1102 W WAUGH ST
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City | DALTON
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State | GA
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Zip | 30720
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Country | US
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Telephone | 706-277-2321
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Fax | 706-226-1492
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 047502
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License Number State | GA
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