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General NPI Number Information
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NPI Number | 1699001040
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Entity Type | Organization
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Legal Business Name | DAVID M. PEEPLES MD, LLC
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Dates
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Enumeration Date | 10/20/2009
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Last Update Date | 10/20/2009
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Provider Practice Location Address
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Address Line | 14825 NORTH OUTER 40 SUITE 330A
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City | CHESTERFIELD
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State | MO
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Zip | 63017
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Country | US
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Telephone | 636-537-0525
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Fax | 636-537-0575
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Provider Business Mailing Address
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Address Line | PO BOX 952629
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City | SAINT LOUIS
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State | MO
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Zip | 63195-2629
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Country | US
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Telephone | 636-537-0525
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Fax | 636-537-0575
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. DAVID M PEEPLES
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Credential | MD
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Telephone | 636-537-0525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | R3L66
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License Number State | MO
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