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General NPI Number Information
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NPI Number | 1407494354
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Entity Type | Individual
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Provider Name | JENNIFER A PEPER LLPC
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Gender | Female
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Dates
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Enumeration Date | 12/11/2019
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Last Update Date | 12/11/2019
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Provider Practice Location Address
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Address Line | 145 ROCHDALE DR S STE F
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-2275
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Country | US
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Telephone | 248-881-2725
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Fax |
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Provider Business Mailing Address
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Address Line | 1824 BEECHMONT ST
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City | KEEGO HARBOR
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State | MI
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Zip | 48320-1124
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Country | US
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Telephone | 248-881-2725
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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