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General NPI Number Information
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NPI Number | 1740714575
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Entity Type | Organization
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Legal Business Name | PEER MEDICAL IMAGING INTERPRETATION LLC
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Dates
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Enumeration Date | 04/19/2017
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Last Update Date | 04/19/2017
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Provider Practice Location Address
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Address Line | 1400 W 4TH ST
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City | COFFEYVILLE
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State | KS
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Zip | 67337-3306
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Country | US
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Telephone | 989-992-2351
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Fax | 573-755-0276
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Provider Business Mailing Address
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Address Line | 1400 W 4TH ST
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City | COFFEYVILLE
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State | KS
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Zip | 67337-3306
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PETER M PEER
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Credential | DO
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Telephone | 989-992-2351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0527827
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License Number State | KS
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