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General NPI Number Information
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NPI Number | 1477505956
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Entity Type | Individual
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Provider Name | PETER DAMIAN RAY MD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 617 23RD ST STE 105
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City | ASHLAND
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State | KY
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Zip | 41101-2890
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Country | US
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Telephone | 606-408-7500
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Fax | 606-408-6600
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Provider Business Mailing Address
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Address Line | 5185 US ROUTE 60 EAST SUITE 26
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City | HUNTINGTON
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State | WV
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Zip | 25705
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Country | US
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Telephone | 304-691-8910
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Fax | 304-691-1860
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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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 20295
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 26389
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | C2411
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License Number State | KY
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