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General NPI Number Information
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NPI Number | 1356748370
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Entity Type | Individual
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Provider Name | PETER F UCHMAN B.A
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Gender | Male
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Dates
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Enumeration Date | 11/20/2014
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Last Update Date | 11/20/2014
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Provider Practice Location Address
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Address Line | 1100 W. 6TH AVE.
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City | GARY
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State | IN
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Zip | 46402
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Country | US
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Telephone | 219-885-4264
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Fax |
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Provider Business Mailing Address
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Address Line | 4692 W. 1075 N.
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City | WHEATFIELD
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State | IN
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Zip | 46392
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Country | US
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Telephone | 219-885-4264
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Fax |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1920175288
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License Number State | IN
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