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General NPI Number Information
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NPI Number | 1801874532
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Entity Type | Individual
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Provider Name | PETER J LYDON M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 211 PARK ST
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City | ATTLEBORO
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State | MA
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Zip | 02703-3143
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Country | US
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Telephone | 508-222-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 35 UNITED DR STE 102
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City | WEST BRIDGEWATER
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State | MA
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Zip | 02379-1056
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Country | US
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Telephone | 508-238-8646
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Fax | 508-230-9772
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 52243
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License Number State | MA
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