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General NPI Number Information
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NPI Number | 1295526564
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Entity Type | Individual
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Provider Name | PEGGY SUE KERPER MS, CGC
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Gender | Female
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Dates
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Enumeration Date | 05/15/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 501 19TH ST STE 401
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City | KNOXVILLE
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State | TN
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Zip | 37916-1831
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Country | US
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Telephone | 865-331-8720
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Fax | 865-331-1909
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Provider Business Mailing Address
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Address Line | PO BOX 177
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City | SEAVIEW
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State | WA
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Zip | 98644-0177
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Country | US
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Telephone | 865-591-1893
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Fax | 865-331-1909
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number | 22
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License Number State | TN
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