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General NPI Number Information
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NPI Number | 1689657355
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Entity Type | Individual
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Provider Name | PETER SPENCER HEYL M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/27/2005
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Last Update Date | 03/25/2014
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Provider Practice Location Address
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Address Line | 5 WASHINGTON PL 3RD FLOOR
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City | BEDFORD
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State | NH
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Zip | 03110-6736
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Country | US
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Telephone | 603-695-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 100 HITCHCOCK WAY OB/GYN
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City | MANCHESTER
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State | NH
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Zip | 03104-4125
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Country | US
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Telephone | 603-695-2500
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 0101036041
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 16513
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | LT-3362
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License Number State | NH
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