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General NPI Number Information
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NPI Number | 1295812485
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Entity Type | Individual
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Provider Name | MARIANNE B PETERS MD
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 01/04/2011
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Provider Practice Location Address
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Address Line | 463 OHIO PIKE SUITE 306
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City | CINCINNATI
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State | OH
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Zip | 45255-3721
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Country | US
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Telephone | 513-474-7778
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Fax | 512-474-2296
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Provider Business Mailing Address
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Address Line | 1773 SOLUTIONS CTR
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City | CHICAGO
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State | IL
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Zip | 60677-1007
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Country | US
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Telephone | 513-557-3503
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35071759
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License Number State | OH
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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 | 01045888A
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License Number State | IN
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