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General NPI Number Information
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NPI Number | 1285848838
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Entity Type | Individual
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Provider Name | ERIC WEBSTER PETERSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 77 CHURCH ST
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City | ASHEVILLE
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State | NC
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Zip | 28801-3623
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Country | US
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Telephone | 828-253-6998
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1718
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City | ASHEVILLE
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State | NC
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Zip | 28802-1718
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Country | US
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Telephone | 828-253-6998
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | NC17411
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License Number State | NC
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