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NPI Code Detail

MEDICARE: ADRIAN PEEPLES

MEDICARE: ADRIAN PEEPLES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1013280734
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIAN PEEPLES
Provider Business Mailing Address
First Line : 4335 HEMPSTED GLEN AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-0211
Country : US
Telephone Number : 702-528-6650
Fax Number :
Provider Business Practice Location Address
First Line : 4335 HEMPSTED GLEN AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89031-0211
Country : US
Telephone Number : 702-528-6650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2012
Last Update Date : 02/10/2012

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Directions to “ ADRIAN PEEPLES ” Practice Location

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