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General NPI Number Information
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NPI Number | 1104981927
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Entity Type | Individual
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Provider Name | ERIN PEYTON-ALT RPA-C
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Gender | Female
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 54 MAIN STREET
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City | HEMPSTEAD
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State | NY
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Zip | 11550
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Country | US
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Telephone | 516-538-4531
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Fax |
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Provider Business Mailing Address
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Address Line | 600 SHORE RD APARTMENT 3K
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City | LONG BEACH
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State | NY
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Zip | 11561-4650
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Country | US
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Telephone | 516-705-8939
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 009706
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License Number State | NY
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