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General NPI Number Information
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NPI Number | 1972690618
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Entity Type | Individual
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Provider Name | PETER MICHAEL PILLITTERI M.D., FACEP
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | JORDAN HOSPITAL ER 275 SANDWICH STREET
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City | PLYMOUTH
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State | MA
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Zip | 02360
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Country | US
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Telephone | 508-830-2800
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Fax | 508-830-2836
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Provider Business Mailing Address
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Address Line | 221 COURT STEET
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City | PLYMOUTH
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State | MA
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Zip | 02360
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Country | US
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Telephone | 508-746-6162
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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 | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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License Number | 75647
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 75647
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License Number State | MA
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