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General NPI Number Information
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NPI Number | 1184954752
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Entity Type | Individual
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Provider Name | STEPHEN TRAVIS PEAKE M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/05/2010
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Last Update Date | 01/05/2010
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Provider Practice Location Address
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Address Line | 3200 W END AVE STE 305
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City | NASHVILLE
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State | TN
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Zip | 37203-1367
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Country | US
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Telephone | 615-386-8515
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Fax | 615-386-8586
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Provider Business Mailing Address
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Address Line | 3200 W END AVE STE 305
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City | NASHVILLE
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State | TN
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Zip | 37203-1367
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Country | US
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Telephone | 615-386-8515
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Fax | 615-386-8586
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD0000040085
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License Number State | TN
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