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General NPI Number Information
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NPI Number | 1679731848
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Entity Type | Individual
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Provider Name | PETER JOSEPH DEMPSEY D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2008
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Last Update Date | 05/23/2008
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Provider Practice Location Address
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Address Line | 247 ORVILLE ST APT. 15
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City | FAIRBORN
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State | OH
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Zip | 45324-2968
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Country | US
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Telephone | 937-754-1314
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Fax |
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Provider Business Mailing Address
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Address Line | 247 ORVILLE ST APT. 15
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City | FAIRBORN
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State | OH
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Zip | 45324-2968
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Country | US
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Telephone | 937-754-1314
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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 | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 017099
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 0528238
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License Number State | KS
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