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General NPI Number Information
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NPI Number | 1306617113
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Entity Type | Individual
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Provider Name | PETER KING DPT
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Gender | Male
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Dates
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Enumeration Date | 01/10/2024
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 8412 OLD TROY PIKE
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-1030
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Country | US
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Telephone | 937-235-0068
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Fax |
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Provider Business Mailing Address
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Address Line | 1316 3RD AVE SW
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City | ABERDEEN
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State | SD
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Zip | 57401-3716
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP035006T
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP032042T
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 6046
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License Number State | SD
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