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General NPI Number Information
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NPI Number | 1710979463
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Entity Type | Individual
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Provider Name | PETER DAVID BYEFF MD
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Gender | Male
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 02/25/2008
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Provider Practice Location Address
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Address Line | 55 MERIDEN AVE STE 1A
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City | SOUTHINGTON
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State | CT
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Zip | 06489-3238
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Country | US
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Telephone | 860-621-9316
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Fax | 860-620-5526
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Provider Business Mailing Address
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Address Line | 55 MERIDEN AVE STE 1A
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City | SOUTHINGTON
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State | CT
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Zip | 06489-3238
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Country | US
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Telephone | 860-621-9316
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Fax | 860-620-5526
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 023371
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License Number State | CT
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