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General NPI Number Information
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NPI Number | 1235209602
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Entity Type | Individual
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Provider Name | PETER BOTTEAS MA, LMHC
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Gender | Male
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 03/07/2008
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Provider Practice Location Address
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Address Line | 7 HAVILAND ST
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City | BOSTON
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State | MA
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Zip | 02115-2683
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Country | US
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Telephone | 617-927-6224
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Fax | 617-927-6251
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Provider Business Mailing Address
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Address Line | 7 HAVILAND ST
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City | BOSTON
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State | MA
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Zip | 02115-2683
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Country | US
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Telephone | 617-267-0900
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Fax | 617-927-6251
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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 | 06381
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 06381
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License Number State | MA
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