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General NPI Number Information
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NPI Number | 1861680761
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Entity Type | Organization
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Legal Business Name | ROBERT E PEYSER MD PA
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Dates
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Enumeration Date | 10/05/2007
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Last Update Date | 08/20/2008
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Provider Practice Location Address
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Address Line | 1637 SAVANNAH HWY
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City | CHARLESTON
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State | SC
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Zip | 29407
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Country | US
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Telephone | 843-766-3768
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Fax | 843-769-4200
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Provider Business Mailing Address
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Address Line | 1637 SAVANNAH HWY
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City | CHARLESTON
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State | SC
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Zip | 29407
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Country | US
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Telephone | 843-766-3768
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Fax | 843-769-4200
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT E PEYSER
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Credential | MD
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Telephone | 843-766-3768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 113683
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License Number State | SC
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