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General NPI Number Information
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NPI Number | 1295703676
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Entity Type | Individual
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Provider Name | PETER LOUIS LOPER MD
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Gender | Male
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 1 RICHLAND MEDICAL PARK DR SUITE 300
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City | COLUMBIA
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State | SC
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Zip | 29203-6834
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Country | US
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Telephone | 803-799-5022
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Fax | 803-799-5890
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Provider Business Mailing Address
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Address Line | 3555 HARDEN STREET EXT 15 MEDICAL PARK, SUITE 300
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City | COLUMBIA
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State | SC
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Zip | 29203-6894
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Country | US
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Telephone | 803-545-5017
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Fax | 803-255-3451
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 25361
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 8718
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License Number State | SC
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