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NPI 1346545761

NPI 1346545761 : KAREN PEEPLES : PANAMA CITY, FL

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General NPI Number Information
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    NPI Number           |    1346545761
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN PEEPLES
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/15/2011
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    Last Update Date     |    01/15/2011
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Provider Practice Location Address
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    Address Line         |    2925 MARTIN LUTHER KING JR BLVD 
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    City                 |    PANAMA CITY
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    State                |    FL
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    Zip                  |    32405-4411
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    Country              |    US
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    Telephone            |    850-769-0055
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    108 N CLAIRE DR 
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    City                 |    PANAMA CITY
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    State                |    FL
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    Zip                  |    32401-4024
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    Country              |    US
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    Telephone            |    850-215-9891
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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       |    9848
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    License Number State |    FL
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