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General NPI Number Information
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NPI Number | 1336375922
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Entity Type | Individual
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Provider Name | LENNIE MICHELE PETERS D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 06/09/2009
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Last Update Date | 02/10/2010
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Provider Practice Location Address
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Address Line | 1008 HAMLIN ST NE
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City | WASHINGTON
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State | DC
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Zip | 20017-3422
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Country | US
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Telephone | 202-270-0388
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Fax | 202-270-0388
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Provider Business Mailing Address
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Address Line | 1008 HAMLIN ST NE
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City | WASHINGTON
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State | DC
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Zip | 20017-3422
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Country | US
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Telephone | 202-270-0388
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Fax | 202-270-0388
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 71475
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N006301-1
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License Number State | NY
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