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NPI Code Detail

MEDICARE: MR. PETER DERING

MEDICARE: MR. PETER DERING
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
1235Z00000XSpeech-Language PathologistSP8778OH
2235Z00000XSpeech-Language PathologistSA12774FL

General Provider Information

NPI Number : 1184048837
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PETER DERING
Provider Business Mailing Address
First Line : 799 YORK ST W
Second Line :
City : MANSFIELD
State : OH
Zip : 44904-2131
Country : US
Telephone Number : 419-775-7221
Fax Number :
Provider Business Practice Location Address
First Line : 890 W 4TH ST
Second Line :
City : ONTARIO
State : OH
Zip : 44906-2565
Country : US
Telephone Number : 419-774-5520
Fax Number : 419-774-5523
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2014
Last Update Date : 02/14/2014

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Directions to “ MR. PETER DERING ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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