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General NPI Number Information
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NPI Number | 1538500251
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Entity Type | Organization
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Legal Business Name | ALFRED G PETERS, M.D., INC
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Dates
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Enumeration Date | 07/10/2013
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Last Update Date | 07/10/2013
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Provider Practice Location Address
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Address Line | 7050 N RECREATION AVE SUITE 101
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City | FRESNO
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State | CA
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Zip | 93720-8001
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Country | US
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Telephone | 559-325-3515
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Fax | 559-325-3527
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Provider Business Mailing Address
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Address Line | 7050 N RECREATION AVE SUITE 101
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City | FRESNO
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State | CA
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Zip | 93720-8001
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Country | US
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Telephone | 559-325-3515
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Fax | 559-325-3517
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALFRED GEORGE PETERS
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Credential | M.D.
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Telephone | 559-325-3515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G191270
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License Number State | CA
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