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General NPI Number Information
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NPI Number | 1245448711
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Entity Type | Individual
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Provider Name | AYESHA KAMEELA PEETS MD
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Gender | Female
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 14 VERDMONT VALLEY DRIVE
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City | SMITH'S PARISH
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State | BERMUDA
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Zip | FL02
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Country | BM
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Telephone | 441-236-7961
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Fax | 441-236-7961
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Provider Business Mailing Address
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Address Line | 14 VERDMONT VALLEY DRIVE
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City | SMITH'S PARISH
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State | BERMUDA
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Zip | FL02
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Country | BM
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Telephone | 441-236-7961
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Fax | 441-236-7961
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 0116018849
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101247642
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License Number State | VA
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