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General NPI Number Information
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NPI Number | 1780664292
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Entity Type | Individual
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Provider Name | BARBARA LEE PETERLIN II DO
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Gender | Female
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 6620 FLY ROAD STE 305
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City | EAST SYRACUSE
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State | NY
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Zip | 13057
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Country | US
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Telephone | 315-464-3938
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Fax | 315-464-5359
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Provider Business Mailing Address
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Address Line | 205 GRANDVIEW AVENUE SUITE 206
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City | CAMP HILL
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State | PA
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Zip | 17011
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Country | US
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Telephone | 717-745-6223
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Fax | 717-745-6224
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 339481
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | H70713
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | OS010064L
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License Number State | PA
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