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General NPI Number Information
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NPI Number | 1598292302
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Entity Type | Individual
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Provider Name | MEGAN PELTER M.D
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Gender | Female
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 11234 ANDERSON ST
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City | LOMA LINDA
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State | CA
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Zip | 92350-1716
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Country | US
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Telephone | 909-558-4756
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Fax |
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Provider Business Mailing Address
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Address Line | 2068 ORANGE TREE LN STE 215
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City | REDLANDS
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State | CA
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Zip | 92374-4555
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Country | US
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Telephone | 909-558-4756
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A16145
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A161455
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A161455
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | A161455
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License Number State | CA
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