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General NPI Number Information
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NPI Number | 1578679692
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Entity Type | Individual
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Provider Name | PETER G FELBECK M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 04/20/2025
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Provider Practice Location Address
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Address Line | 1501 N CAMPBELL AVE
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City | TUCSON
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State | AZ
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Zip | 85724-4818
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Country | US
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Telephone | 520-694-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 40 RESERVOIR LN
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City | BUFFALO
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State | WY
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Zip | 82834-9359
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Country | US
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Telephone | 248-345-0156
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 69556
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License Number State | AZ
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