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General NPI Number Information
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NPI Number | 1700751856
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Entity Type | Individual
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Provider Name | ERIC MAURICE PEAK
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Gender | Male
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 3340 PEACHTREE RD NE
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City | ATLANTA
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State | GA
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Zip | 30326-1000
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Country | US
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Telephone | 404-621-9685
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Fax |
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Provider Business Mailing Address
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Address Line | 1432 VERANDA CHASE DR
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-7170
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Country | US
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Telephone | 404-621-9685
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PHDME001010
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License Number State | GA
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