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General NPI Number Information
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NPI Number | 1780020065
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Entity Type | Organization
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Legal Business Name | PETER A LINFOOT PHD MD INC.
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Dates
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Enumeration Date | 05/14/2013
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Last Update Date | 05/14/2013
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Provider Practice Location Address
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Address Line | 978 2ND ST STE 220
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City | LAFAYETTE
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State | CA
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Zip | 94549-4538
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Country | US
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Telephone | 925-926-1240
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Fax | 925-962-6984
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Provider Business Mailing Address
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Address Line | 978 2ND ST STE 220
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City | LAFAYETTE
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State | CA
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Zip | 94549-4538
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Country | US
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Telephone | 925-926-1240
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Fax | 925-962-6984
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PETER ALLEN LINFOOT
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Credential | M.D., PH.D.
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Telephone | 925-962-1240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | G071944
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License Number State | CA
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