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General NPI Number Information
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NPI Number | 1023025749
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Entity Type | Individual
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Provider Name | TERESA MICHELLE PETERS PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 200 POWDER MILL RD
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City | WILMINGTON
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State | DE
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Zip | 19803-2907
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Country | US
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Telephone | 302-695-4602
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Fax | 302-695-1364
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Provider Business Mailing Address
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Address Line | 200 POWDER MILL RD
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City | WILMINGTON
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State | DE
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Zip | 19803-2907
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Country | US
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Telephone | 302-695-4602
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Fax | 302-695-1364
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | OA000982
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA052054
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | C5-0012241
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 25MP00907500
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License Number State | NJ
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