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General NPI Number Information
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NPI Number | 1326985177
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Entity Type | Individual
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Provider Name | BRITTANY MEGAN PETERSEN
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Gender |
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 4436 SAWMILLS SCHOOL RD
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City | GRANITE FALLS
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State | NC
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Zip | 28630-9488
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Country | US
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Telephone | 828-396-2610
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Fax |
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Provider Business Mailing Address
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Address Line | 200 E 2ND AVE
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City | GASTONIA
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State | NC
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Zip | 28052-4358
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Country | US
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Telephone | 704-874-1904
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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 | A22338
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License Number State | NC
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