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General NPI Number Information
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NPI Number | 1982765939
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Entity Type | Individual
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Provider Name | PETER KLAINER M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 06/09/2016
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Provider Practice Location Address
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Address Line | 3700 SYMI CIR
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City | MOREHEAD CITY
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State | NC
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Zip | 28557-4309
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Country | US
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Telephone | 252-222-5888
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Fax | 252-773-0506
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Provider Business Mailing Address
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Address Line | 3700 SYMI CIR
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City | MOREHEAD CITY
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State | NC
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Zip | 28557-4309
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Country | US
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Telephone | 252-222-5888
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Fax | 252-773-0506
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 0101055546
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 2016-00315
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License Number State | NC
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