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General NPI Number Information
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NPI Number | 1487021200
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Entity Type | Individual
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Provider Name | BRIAN P. PEPPEL PA
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Gender | Male
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Dates
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Enumeration Date | 08/27/2015
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 400 MATTHEW ST STE 401
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City | MARIETTA
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State | OH
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Zip | 45750-1656
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Country | US
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Telephone | 740-434-0565
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Fax | 740-434-0563
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Provider Business Mailing Address
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Address Line | PO BOX 449
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City | MARIETTA
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State | OH
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Zip | 45750-0449
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Country | US
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Telephone | 740-374-4500
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Fax | 740-374-5887
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.004418
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License Number State | OH
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