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General NPI Number Information
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NPI Number | 1740479807
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Entity Type | Organization
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Legal Business Name | WILLAIM J PEGG, MD, PC
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 26 GLEASON ST
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City | HYANNIS
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State | MA
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Zip | 02601-5223
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Country | US
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Telephone | 507-771-4850
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Fax | 508-771-3658
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Provider Business Mailing Address
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Address Line | PO BOX 2460
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City | TEATICKET
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State | MA
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Zip | 02536-2460
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Country | US
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Telephone | 508-548-3699
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Fax | 508-548-6036
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM J PEGG
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Credential | MD
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Telephone | 508-771-4850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 59534
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License Number State | MA
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