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General NPI Number Information
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NPI Number | 1942484506
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Entity Type | Organization
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Legal Business Name | JOHN C PEYTON MD
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Dates
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Enumeration Date | 12/19/2007
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 1400 HWY 84 WEST SUITE 6
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City | RUSK
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State | TX
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Zip | 75785-7027
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Country | US
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Telephone | 903-683-1825
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Fax | 903-683-1556
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Provider Business Mailing Address
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Address Line | PO BOX 1027
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City | RUSK
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State | TX
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Zip | 75785-7027
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Country | US
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Telephone | 903-683-1825
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Fax | 903-683-1556
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Authorized Official
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Title or Position | DOCTOR
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Name | JOHN C PEYTON
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Credential | MD
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Telephone | 903-683-1825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D5152
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License Number State | TX
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