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General NPI Number Information
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NPI Number | 1063917276
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Entity Type | Individual
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Provider Name | PETER ANDREW BEELER-DUDEN MD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 214 FREESIA LN
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City | STAFFORD
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State | VA
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Zip | 22554-2539
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Country | US
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Telephone | 901-579-0902
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9007
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22906-9007
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Country | US
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Telephone | 434-295-1000
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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 | 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 | VA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101269999
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License Number State | VA
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