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General NPI Number Information
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NPI Number | 1376018499
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Entity Type | Organization
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Legal Business Name | PETERSON COUNSELING & CONSULTING, INC.
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Dates
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Enumeration Date | 10/04/2018
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Last Update Date | 10/04/2018
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Provider Practice Location Address
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Address Line | 8522 CREEDMOOR LN
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City | NEW PORT RICHEY
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State | FL
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Zip | 34654-4620
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Country | US
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Telephone | 727-753-8082
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Fax |
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Provider Business Mailing Address
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Address Line | 8522 CREEDMOOR LN
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City | NEW PORT RICHEY
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State | FL
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Zip | 34654-4620
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Country | US
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Telephone | 727-753-8082
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Fax |
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Authorized Official
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Title or Position | EMPLOYEE
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Name | RITA MARIE CHENOWETH PETERSON
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Credential | LCSW
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Telephone | 727-753-8082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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