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General NPI Number Information
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NPI Number | 1306777396
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Entity Type | Individual
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Provider Name | MEEKHA PETER
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Gender | Female
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Dates
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Enumeration Date | 05/27/2026
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Last Update Date | 05/27/2026
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Provider Practice Location Address
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Address Line | 22901 MILLCREEK BLVD STE 200
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City | BEACHWOOD
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State | OH
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Zip | 44122-5721
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Country | US
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Telephone | 845-444-0671
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Fax |
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Provider Business Mailing Address
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Address Line | 2572 KEMPER RD APT 114
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44120-1234
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Country | US
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Telephone | 845-444-0671
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | RES005090
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License Number State | OH
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