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General NPI Number Information
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NPI Number | 1194608844
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Entity Type | Individual
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Provider Name | PEYTON ERDEK
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Gender | Female
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 6740 ROCK SPRING RD BLDG IV
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City | WILMINGTON
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State | NC
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Zip | 28405-3185
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Country | US
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Telephone | 610-412-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 211 WANCHESE RD N APT 404
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City | WILMINGTON
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State | NC
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Zip | 28411-8507
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Country | US
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Telephone | 610-412-8200
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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