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General NPI Number Information
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NPI Number | 1225890825
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Entity Type | Individual
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Provider Name | TETA PETERS
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Gender | Female
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 37 BONAIRE DR
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City | DIX HILLS
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State | NY
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Zip | 11746-6525
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Country | US
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Telephone | 516-815-3593
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Fax |
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Provider Business Mailing Address
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Address Line | 37 BONAIRE DR
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City | DIX HILLS
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State | NY
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Zip | 11746-6525
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Country | US
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Telephone |
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 26NR23172200
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number | 805297
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License Number State | NY
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