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General NPI Number Information
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NPI Number | 1003370206
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Entity Type | Individual
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Provider Name | PETER AIAD
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Gender | Male
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Dates
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Enumeration Date | 01/22/2019
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Last Update Date | 01/22/2019
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Provider Practice Location Address
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Address Line | 830 SLOAN TER
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City | SANTA MARIA
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State | CA
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Zip | 93455-7462
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Country | US
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Telephone | 502-751-7290
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Fax |
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Provider Business Mailing Address
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Address Line | 733 E MAIN ST
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City | SANTA MARIA
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State | CA
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Zip | 93454-4507
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Country | US
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Telephone | 805-922-2040
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Fax | 805-349-0048
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 76365
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License Number State | CA
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