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General NPI Number Information
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NPI Number | 1952395071
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Entity Type | Individual
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Provider Name | MARGARET EMILY PETERSON R.N.F.A.
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Gender | Female
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Dates
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Enumeration Date | 09/02/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 438 RIVIERA CIR
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City | LARKSPUR
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State | CA
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Zip | 94939-1510
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Country | US
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Telephone | 415-927-8848
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Fax | 415-927-8858
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Provider Business Mailing Address
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Address Line | 438 RIVIERA CIR
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City | LARKSPUR
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State | CA
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Zip | 94939-1510
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Country | US
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Telephone | 415-927-8848
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Fax | 415-927-8858
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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 | 163WX0800X
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Taxonomy Name | Orthopedic Registered Nurse
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License Number | 336570
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License Number State | CA
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