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General NPI Number Information
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NPI Number | 1225503998
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Entity Type | Individual
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Provider Name | PETER ABRAHAM HEBL DDS
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Gender | Male
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Dates
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Enumeration Date | 10/09/2018
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Last Update Date | 10/21/2022
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Provider Practice Location Address
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Address Line | 956 S MILITARY TRL
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-3910
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Country | US
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Telephone | 561-725-7559
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Fax |
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Provider Business Mailing Address
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Address Line | 2921 CROSLEY DR W APT G
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-8664
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Country | US
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Telephone | 414-573-3578
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 1001953-15
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN26447
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License Number State | FL
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