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General NPI Number Information
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NPI Number | 1336120070
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Entity Type | Individual
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Provider Name | PETER A BRESLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 05/11/2012
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Provider Practice Location Address
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Address Line | 328 TRAVIS DR
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City | LOS OSOS
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State | CA
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Zip | 93402-4330
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Country | US
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Telephone | 805-801-4607
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Fax | 805-528-1120
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Provider Business Mailing Address
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Address Line | 328 TRAVIS DR
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City | LOS OSOS
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State | CA
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Zip | 93402-4330
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Country | US
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Telephone | 805-801-4607
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Fax | 805-528-1120
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G24971
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License Number State | CA
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