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General NPI Number Information
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NPI Number | 1417675802
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Entity Type | Individual
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Provider Name | HANNAH ELIZABETH PEDDER PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 02/22/2026
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Provider Practice Location Address
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Address Line | 2910 MACGREGOR DOWNS RD
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City | GREENVILLE
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State | NC
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Zip | 27834-8257
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Country | US
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Telephone | 800-226-8874
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Fax |
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Provider Business Mailing Address
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Address Line | 6821 RESTING GROVE RD
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City | RALEIGH
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State | NC
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Zip | 27610-8720
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Country | US
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Telephone | 724-516-2531
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0010-15608
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License Number State | NC
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