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General NPI Number Information
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NPI Number | 1851345771
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Entity Type | Organization
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Legal Business Name | RAYMOND E PETERS INC
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 12/08/2021
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Provider Practice Location Address
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Address Line | 9240 BONITA BEACH RD SE STE 2206
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4251
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Country | US
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Telephone | 239-821-8486
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Fax | 239-766-7528
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Provider Business Mailing Address
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Address Line | 9240 BONITA BEACH RD SE STE 2206
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4251
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Country | US
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Telephone | 239-821-8486
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Fax | 239-254-1576
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN A PETERS
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Credential |
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Telephone | 239-254-1648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number |
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License Number State | FL
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