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General NPI Number Information
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NPI Number | 1841586641
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Entity Type | Individual
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Provider Name | PETER D IGOE D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 2222 CLEARVIEW PKWY STE. 1
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City | METAIRIE
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State | LA
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Zip | 70001-2437
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Country | US
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Telephone | 504-302-4204
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Fax | 504-454-0855
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Provider Business Mailing Address
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Address Line | 2222 CLEARVIEW PKWY STE. 1
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City | METAIRIE
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State | LA
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Zip | 70001-2437
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Country | US
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Telephone | 504-302-4204
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Fax | 504-454-0855
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10795
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 35920
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12013882A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6192
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License Number State | LA
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