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General NPI Number Information
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NPI Number | 1386737807
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Entity Type | Individual
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Provider Name | DAVID M. PETRO D.O.,M.P.H.
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4595 NEW FALLS RD STE A
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City | LEVITTOWN
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State | PA
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Zip | 19056
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Country | US
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Telephone | 267-587-3700
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Fax | 215-752-1904
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Provider Business Mailing Address
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Address Line | 41 UNIVERSITY DR SUITE 300
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City | NEWTOWN
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State | PA
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Zip | 18940-1873
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Country | US
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Telephone | 215-710-5522
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Fax | 215-710-5181
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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 | 0S004383L
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License Number State | PA
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