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General NPI Number Information
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NPI Number | 1750456687
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Entity Type | Individual
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Provider Name | PETER REDKO DPM
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Gender | Male
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 11/24/2009
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Provider Practice Location Address
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Address Line | 1400 PROFESSIONAL DRIVE SUITE 102
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City | PETALUMA
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State | CA
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Zip | 94954-5110
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Country | US
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Telephone | 707-769-8481
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Fax | 707-769-0751
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Provider Business Mailing Address
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Address Line | 1400 PROFESSIONAL DR SUITE 102
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City | PETALUMA
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State | CA
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Zip | 94954-5110
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Country | US
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Telephone | 707-769-8481
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Fax | 707-769-0751
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E4517
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License Number State | CA
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