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General NPI Number Information
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NPI Number | 1679197123
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Entity Type | Organization
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Legal Business Name | ZP MEDICAL SERVICES, PC
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Dates
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Enumeration Date | 06/01/2020
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Last Update Date | 06/01/2020
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Provider Practice Location Address
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Address Line | 12121 WILSHIRE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90025-1123
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Country | US
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Telephone | 212-308-3076
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Fax |
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Provider Business Mailing Address
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Address Line | 45 W 45TH ST FL 16
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City | NEW YORK
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State | NY
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Zip | 10036-4602
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Country | US
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Telephone | 212-308-3076
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MAURICE ROBERT PETERS JR.
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Credential | MD
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Telephone | 212-308-3076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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