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General NPI Number Information
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NPI Number | 1326079864
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Entity Type | Individual
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Provider Name | PETER HOWARD SEGALL MD
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 06/10/2021
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Provider Practice Location Address
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Address Line | 4302 ALTON RD SUITE 750A
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2800
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Country | US
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Telephone | 305-674-2755
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Fax | 305-674-2725
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Provider Business Mailing Address
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Address Line | 4302 ALTON RD SUITE 750 A
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2755
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Country | US
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Telephone | 305-674-2755
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Fax | 305-674-2725
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0030417
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME0030417
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License Number State | FL
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