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General NPI Number Information
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NPI Number | 1508056862
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Entity Type | Individual
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Provider Name | ERIN ASHLEY PETERS PT
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Gender | Female
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 08/01/2007
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Provider Practice Location Address
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Address Line | 12647 OLIVE BLVD SUITE 600
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City | SAINT LOUIS
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State | MO
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Zip | 63141-6345
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Country | US
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Telephone | 910-494-2128
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Fax |
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Provider Business Mailing Address
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Address Line | 620 RAVENCROFT CT
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-2548
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Country | US
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Telephone | 910-494-2128
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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 | 10844
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License Number State | NC
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