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Individual
PETER HARRIS
Active
Individual
PETER HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042.0007993
VT
207R00000X
Internal Medicine Physician
0420007993
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028804
BLUE SHIELD
VT
05
—
0009470
—
VT
01
—
110137555
RAILROAD MEDICARE
VT
05
—
3008260
—
NH
01
—
8000217
LADIES FIRST
VT
01
—
810628
MVP
VT
Enumeration date
08/30/2006
Last updated
06/17/2015
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