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General NPI Number Information
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NPI Number | 1073526430
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Entity Type | Individual
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Provider Name | PETER STEPHEN ROSS MD
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Gender | Male
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 3650 JOSEPH SIEWICK DR #305
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City | FAIRFAX
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State | VA
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Zip | 22033-1710
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Country | US
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Telephone | 703-648-1831
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Fax | 703-648-2552
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Provider Business Mailing Address
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Address Line | 1115 58TH ST
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City | SACRAMENTO
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State | CA
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Zip | 95819-3937
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Country | US
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Telephone | 703-819-2640
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 27171
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License Number State | VA
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