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General NPI Number Information
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NPI Number | 1386697365
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Entity Type | Individual
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Provider Name | GREGORIE CONSTANT-PETER MD
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Gender | Female
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 3855 S JOHN YOUNG PKWY
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City | ORLANDO
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State | FL
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Zip | 32839-8652
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Country | US
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Telephone | 407-353-3695
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Fax |
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Provider Business Mailing Address
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Address Line | 11136 BUGENHAGEN DR
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City | ORLANDO
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State | FL
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Zip | 32832-7032
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Country | US
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Telephone | 917-670-5908
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | ME110998
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME110998
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License Number State | FL
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