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General NPI Number Information
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NPI Number | 1699749754
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Entity Type | Individual
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Provider Name | MATTHEW A PECCI M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 2625 SHADELANDS DR
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City | WALNUT CREEK
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State | CA
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Zip | 94598-2512
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Country | US
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Telephone | 925-939-8585
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Fax | 925-933-2709
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Provider Business Mailing Address
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Address Line | PO BOX 31396
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City | WALNUT CREEK
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State | CA
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Zip | 94598-8396
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Country | US
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Telephone | 925-939-8585
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Fax | 925-933-2709
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | A62112
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License Number State | CA
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