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General NPI Number Information
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NPI Number | 1174929236
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Entity Type | Individual
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Provider Name | ERIN PECK ED.S, LPC
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Gender | Female
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Dates
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Enumeration Date | 11/17/2014
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Last Update Date | 05/04/2022
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Provider Practice Location Address
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Address Line | 925 N WASHINGTON ST
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City | FORREST CITY
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State | AR
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Zip | 72335-2824
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Country | US
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Telephone | 870-630-8142
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Fax | 870-493-8128
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Provider Business Mailing Address
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Address Line | 109 SEQUOIA ST
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City | WYNNE
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State | AR
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Zip | 72396-3700
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Country | US
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Telephone | 870-362-6135
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | A1411152
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License Number State | AR
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