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General NPI Number Information
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NPI Number | 1699497057
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Entity Type | Individual
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Provider Name | MR. GARRETT PEED
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Gender | Male
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 3805 EDWARDS RD STE 100
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City | CINCINNATI
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State | OH
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Zip | 45209-1939
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Country | US
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Telephone | 513-351-3223
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Fax |
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Provider Business Mailing Address
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Address Line | 3950 DEFENSE LN
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City | HUNTINGTOWN
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State | MD
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Zip | 20639-3632
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Country | US
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Telephone | 410-474-0702
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R215502
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License Number State | MD
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