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General NPI Number Information
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NPI Number | 1942485511
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Entity Type | Organization
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Legal Business Name | DENISE B. PECHT MD PC
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 12/09/2008
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Provider Practice Location Address
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Address Line | 771 OLD NORCROSS RD SUITE 305
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-4317
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Country | US
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Telephone | 770-339-4000
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Fax | 770-339-9037
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Provider Business Mailing Address
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Address Line | 771 OLD NORCROSS RD SUITE 305
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City | LAWRENCEVILLE
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State | GA
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Zip | 30045-4317
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Country | US
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Telephone | 770-339-4000
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Fax | 770-339-9037
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DENISE B PECHT
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Credential | MD
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Telephone | 770-339-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 034436
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License Number State | GA
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