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General NPI Number Information
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NPI Number | 1538486188
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Entity Type | Individual
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Provider Name | PETER Y TIEH M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/22/2010
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Last Update Date | 02/23/2022
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Provider Practice Location Address
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Address Line | 7025 FRY RD STE 200
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City | CYPRESS
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State | TX
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Zip | 77433-8152
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Country | US
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Telephone | 832-975-7288
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Fax |
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Provider Business Mailing Address
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Address Line | 7025 FRY RD STE 200
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City | CYPRESS
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State | TX
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Zip | 77433-8152
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Country | US
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Telephone | 832-975-7288
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Fax | 832-975-7287
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A123596
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 303174
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | R0512
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License Number State | TX
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