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General NPI Number Information
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NPI Number | 1427099381
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Entity Type | Individual
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Provider Name | DAVID WILLIAM PEER DC,CCSP
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 11/15/2011
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Provider Practice Location Address
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Address Line | 10555 MONTGOMERY BLVD NE BLDG 1 STE 30
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-3857
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Country | US
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Telephone | 505-299-6622
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Fax | 505-323-4419
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Provider Business Mailing Address
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Address Line | 10555 MONTGOMERY BLVD NE BLDG 1 STE 30
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-3857
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Country | US
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Telephone | 505-299-6622
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Fax | 505-323-4419
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 1499
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License Number State | NM
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