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General NPI Number Information
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NPI Number | 1104857747
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Entity Type | Individual
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Provider Name | PETER J AMEGLIO MD
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 01/26/2023
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Provider Practice Location Address
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Address Line | 6839 PORTO FINO CIR
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City | FORT MYERS
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State | FL
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Zip | 33912-4361
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Country | US
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Telephone | 239-990-8138
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Fax | 238-237-3180
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Provider Business Mailing Address
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Address Line | 6839 PORTO FINO CIR
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City | FORT MYERS
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State | FL
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Zip | 33912-4361
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Country | US
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Telephone | 239-990-8138
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Fax | 239-237-3180
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME131013
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | ME131013
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License Number State | FL
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