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General NPI Number Information
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NPI Number | 1639262959
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Entity Type | Individual
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Provider Name | PETER H HIBBERD MD
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Gender | Male
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 12/31/2022
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Provider Practice Location Address
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Address Line | 277 ROYAL POINCIANA WAY UNIT 141
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City | PALM BEACH
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State | FL
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Zip | 33480-4007
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Country | US
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Telephone | 561-655-4477
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Fax | 561-655-7245
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Provider Business Mailing Address
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Address Line | 277 ROYAL POINCIANA WAY UNIT 141
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City | PALM BEACH
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State | FL
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Zip | 33480-4007
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Country | US
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Telephone | 561-725-2356
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Fax | 561-655-7245
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | C167061
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036.060990
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 22597
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01030482A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | Q4426
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 53441
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License Number State | CT
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Taxonomy #7
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | ME88920
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME88920
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License Number State | FL
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