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Individual
PEGGY BIRKENFELD
Active
Individual
PEGGY BIRKENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
241316
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N49A
MEDICARE PART B
TX
05
—
063566601
—
TX
05
—
063566602
—
TX
05
—
146595002
—
TX
01
—
458679
GROUP MEDICARE
TX
Enumeration date
04/25/2006
Last updated
01/29/2014
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