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General NPI Number Information
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NPI Number | 1801975073
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Entity Type | Organization
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Legal Business Name | PETER D FERGUSON
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 04/04/2011
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Provider Practice Location Address
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Address Line | 3507 CLEVELAND AVE NW
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City | CANTON
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State | OH
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Zip | 44709-2748
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Country | US
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Telephone | 330-493-7970
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Fax | 330-493-7410
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Provider Business Mailing Address
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Address Line | 3507 CLEVELAND AVE NW
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City | CANTON
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State | OH
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Zip | 44709-2748
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Country | US
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Telephone | 330-493-7970
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Fax | 330-493-7410
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Authorized Official
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Title or Position | OWNER
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Name | DR. PETER D FERGUSON
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Credential | DO
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Telephone | 330-493-7970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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