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General NPI Number Information
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NPI Number | 1811903099
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Entity Type | Individual
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Provider Name | PETER MA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 11/16/2011
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Provider Practice Location Address
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Address Line | 10810 CONNECTICUT AVE
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City | KENSINGTON
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State | MD
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Zip | 20895-2138
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Country | US
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Telephone | 301-929-7269
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 E JEFFERSON ST
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City | ROCKVILLE
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State | MD
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Zip | 20852-4908
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Country | US
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Telephone | 301-816-2424
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Fax |
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D24466
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License Number State | MD
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