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General NPI Number Information
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NPI Number | 1093163453
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Entity Type | Individual
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Provider Name | PETER G EDMINSTER MD
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Gender | Male
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Dates
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Enumeration Date | 05/26/2016
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 1200 E COLUMBIA AVE
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City | COLVILLE
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State | WA
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Zip | 99114-3354
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Country | US
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Telephone | 509-684-3701
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Fax | 509-684-5817
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Provider Business Mailing Address
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Address Line | PO BOX 31001-4114
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City | PASADENA
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State | CA
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Zip | 91110-4114
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Country | US
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Telephone | 866-747-2455
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Fax | 509-944-9644
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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 | MD60888857
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD60888857
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License Number State | WA
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