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General NPI Number Information
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NPI Number | 1639145667
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Entity Type | Individual
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Provider Name | PETER S. FORNOS MD
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Gender | Male
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 06/03/2014
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Provider Practice Location Address
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Address Line | 311 CAMDEN ST SUITE 504
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City | SAN ANTONIO
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State | TX
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Zip | 78215-2012
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Country | US
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Telephone | 210-227-7293
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Fax | 210-227-7050
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Provider Business Mailing Address
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Address Line | 311 CAMDEN ST SUITE 504
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City | SAN ANTONIO
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State | TX
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Zip | 78215-2012
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Country | US
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Telephone | 210-227-7293
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Fax | 210-227-7050
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | H2936
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License Number State | TX
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