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General NPI Number Information
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NPI Number | 1508827395
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Entity Type | Individual
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Provider Name | DAVID A PETER M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 201 BJC ST PETERS DRIVE STE 100 SAINT PETERS MO 63376
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City | SAINT LOUIS
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State | MO
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Zip | 63195-0001
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Country | US
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Telephone | 636-916-7233
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Fax | 636-916-7234
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Provider Business Mailing Address
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Address Line | 'PO BOX 959354 ST LOUIS MO 63195'
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City | SAINT LOUIS
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State | MO
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Zip | 63195-0001
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Country | US
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Telephone | 636-916-7233
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Fax | 636-916-7234
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2017037297
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License Number State | MO
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