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General NPI Number Information
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NPI Number | 1144259011
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Entity Type | Individual
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Provider Name | PETER STEVEN PYATAK M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 03/31/2020
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Provider Practice Location Address
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Address Line | 1071 CARE WAY STE 101
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City | FREDERICKSBURG
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State | VA
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Zip | 22401
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Country | US
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Telephone | 540-374-3100
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Fax | 540-374-3102
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Provider Business Mailing Address
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Address Line | 1071 CARE WAY STE 101
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-8431
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Country | US
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Telephone | 540-374-3100
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Fax | 540-374-3102
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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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 0101055569
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License Number State | VA
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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 | 0101055569
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License Number State | VA
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