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General NPI Number Information
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NPI Number | 1427168137
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Entity Type | Individual
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Provider Name | PETER MARCHETTI
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 508 MARYLAND AVE SUITE 2
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City | CAMBRIDGE
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State | MD
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Zip | 21613-1930
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Country | US
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Telephone | 410-901-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 29448 HEMLOCK LN
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City | EASTON
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State | MD
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Zip | 21601-4885
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Country | US
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Telephone | 410-822-8193
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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