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General NPI Number Information
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NPI Number | 1043846991
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Entity Type | Individual
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Provider Name | DAVID C PETERS MD
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Gender | Male
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Dates
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Enumeration Date | 03/22/2020
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 4 HARTFORD DR STE 1
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City | TINTON FALLS
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State | NJ
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Zip | 07701-4945
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Country | US
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Telephone | 732-741-3600
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Fax | 732-741-3603
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Provider Business Mailing Address
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Address Line | 4 HARTFORD DR
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City | TINTON FALLS
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State | NJ
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Zip | 07701-4929
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Country | US
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Telephone | 978-587-1651
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD479090
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA12691200
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License Number State | NJ
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