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General NPI Number Information
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NPI Number | 1285798074
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Entity Type | Individual
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Provider Name | WILLIAM JOSEPH PEGG M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 10/02/2007
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Provider Practice Location Address
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Address Line | 26 GLEASON ST
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City | HYANNIS
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State | MA
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Zip | 02601-5223
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Country | US
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Telephone | 508-771-4850
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Fax | 508-771-3658
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Provider Business Mailing Address
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Address Line | PO BOX 2460
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City | TEATICKET
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State | MA
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Zip | 02536-2460
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Country | US
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Telephone | 508-548-3699
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Fax | 508-548-6036
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 59534
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License Number State | MA
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