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General NPI Number Information
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NPI Number | 1073511838
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Entity Type | Individual
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Provider Name | DAVID ORRIN PETERS OD
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Gender | Male
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 600 S COLORADO ST
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City | LOCKHART
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State | TX
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Zip | 78644-3102
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Country | US
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Telephone | 512-398-2020
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Fax | 512-398-5141
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Provider Business Mailing Address
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Address Line | 600 S COLORADO ST
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City | LOCKHART
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State | TX
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Zip | 78644-3102
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Country | US
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Telephone | 512-398-2020
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Fax | 512-398-5141
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3378TG
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License Number State | TX
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