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General NPI Number Information
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NPI Number | 1326151887
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Entity Type | Individual
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Provider Name | JAMES D PETERS D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 11/20/2020
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Provider Practice Location Address
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Address Line | 100 MEDICAL DR STE 400
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City | DUBLIN
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State | GA
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Zip | 31021-2561
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Country | US
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Telephone | 478-353-1166
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Fax | 478-353-1170
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Provider Business Mailing Address
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Address Line | PO BOX 370
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City | FORTSON
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State | GA
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Zip | 31808-0370
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Country | US
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Telephone |
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Fax | 706-494-3008
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 036595
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License Number State | GA
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