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General NPI Number Information
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NPI Number | 1205218922
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Entity Type | Individual
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Provider Name | PETER MULLER DDS
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Gender | Male
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Dates
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Enumeration Date | 06/19/2015
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 3131 E FLORENCE AVE
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-5839
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Country | US
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Telephone | 323-585-3332
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Fax |
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Provider Business Mailing Address
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Address Line | 5200 WILSHIRE BLVD APT 663
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City | LOS ANGELES
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State | CA
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Zip | 90036-5064
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Country | US
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Telephone | 585-329-2670
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22153
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 103479
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License Number State | CA
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