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General NPI Number Information
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NPI Number | 1003291048
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Entity Type | Individual
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Provider Name | PEGGY A. SALAZAR
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Gender | Female
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Dates
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Enumeration Date | 07/20/2015
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 3309 SHARI ST
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City | THE VILLAGES
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State | FL
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Zip | 32163-0821
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Country | US
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Telephone | 303-503-0372
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 550
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City | WILDWOOD
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State | FL
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Zip | 34785-0550
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Country | US
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Telephone | 303-503-0372
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0014794
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License Number State | CO
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