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General NPI Number Information
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NPI Number | 1932115532
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Entity Type | Individual
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Provider Name | CINDY ANN PETERS ACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 03/19/2018
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Provider Practice Location Address
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Address Line | 2801 ATLANTIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90806-1701
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Country | US
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Telephone | 562-933-9236
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Fax | 562-933-3007
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Provider Business Mailing Address
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Address Line | 2801 ATLANTIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90806-1701
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Country | US
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Telephone | 562-933-9236
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Fax | 562-933-3007
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 097006303RN
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 097006303N3
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 535518
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License Number State | CA
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