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General NPI Number Information
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NPI Number | 1972757672
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Entity Type | Organization
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Legal Business Name | JOHN M PEPE MD PLLC
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Dates
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Enumeration Date | 11/07/2008
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Last Update Date | 04/06/2009
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Provider Practice Location Address
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Address Line | 1550 RICHMOND AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-1578
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Country | US
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Telephone | 718-982-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 RICHMOND AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-1578
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Country | US
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Telephone | 718-982-7800
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JOHN PEPE
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Credential |
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Telephone | 718-982-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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