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General NPI Number Information
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NPI Number | 1295390854
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Entity Type | Organization
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Legal Business Name | MPETERS NP IN FAMILY HEALTH PC
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Dates
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Enumeration Date | 05/08/2019
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 371 E 49TH ST
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City | BROOKLYN
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State | NY
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Zip | 11203-3403
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Country | US
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Telephone | 718-975-4334
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Fax |
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Provider Business Mailing Address
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Address Line | 371 E 49TH ST
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City | BROOKLYN
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State | NY
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Zip | 11203-3403
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Country | US
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Telephone | 718-975-4334
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL PETERS
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Credential | NP
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Telephone | 718-975-4334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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