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General NPI Number Information
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NPI Number | 1952653529
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Entity Type | Organization
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Legal Business Name | DR PEARLMAN S MEDICAL CARE P.C.
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Dates
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Enumeration Date | 10/08/2012
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Last Update Date | 10/15/2012
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Provider Practice Location Address
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Address Line | 8214 18TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11214
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Country | US
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Telephone | 718-331-3939
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Fax | 718-331-4321
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Provider Business Mailing Address
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Address Line | 8214 18TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11214-2901
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Country | US
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Telephone | 718-331-3939
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Fax | 718-331-4321
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Authorized Official
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Title or Position | OWNER
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Name | DR. GARY PEARLMAN
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Credential | M.D.
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Telephone | 718-331-3939
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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 | 155908
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License Number State | NY
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