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General NPI Number Information
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NPI Number | 1346662640
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Entity Type | Individual
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Provider Name | PEGGY BISSING
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Gender | Female
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Dates
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Enumeration Date | 01/06/2014
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 18830 STONE OAK PKWY STE 107
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City | SPRING BRANCH
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State | TX
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Zip | 78070-4113
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Country | US
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Telephone | 210-385-4944
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Fax | 210-579-6984
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Provider Business Mailing Address
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Address Line | 2010 CEDAR HILL DR
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City | SPRING BRANCH
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State | TX
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Zip | 78070-6803
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Country | US
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Telephone | 210-286-9334
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 12065
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 67934
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License Number State | TX
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