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General NPI Number Information
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NPI Number | 1336181064
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Entity Type | Organization
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Legal Business Name | PETER ALAN TUBY MD PA
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 05/02/2010
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Provider Practice Location Address
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Address Line | 5258 LINTON BLVD SUITE 201
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6540
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Country | US
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Telephone | 561-496-0303
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Fax | 561-496-7163
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Provider Business Mailing Address
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Address Line | 5258 LINTON BLVD SUITE 201
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6540
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Country | US
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Telephone | 561-496-0303
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Fax | 561-496-7163
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PETER A TUBY
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Credential | M.D.
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Telephone | 561-496-0303
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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 | 33111
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License Number State | FL
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