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General NPI Number Information
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NPI Number | 1518181833
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Entity Type | Individual
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Provider Name | DREW LELAND PETERSON DC
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Gender | Male
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 5560 BEE RIDGE RD STE 7
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City | SARASOTA
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State | FL
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Zip | 34233-1509
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Country | US
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Telephone | 941-927-1123
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Fax | --
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Provider Business Mailing Address
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Address Line | 11225 ESTIA DR UNIT 63
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City | BRADENTON
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State | FL
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Zip | 34211-2382
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Country | US
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Telephone | 303-746-6797
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH15114
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License Number State | FL
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