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General NPI Number Information
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NPI Number | 1427337070
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Entity Type | Individual
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Provider Name | SYDNEY ROWLAND PELTIER LPC
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Gender | Female
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Dates
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Enumeration Date | 08/15/2011
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 100 5TH ST STE 310
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City | BRISTOL
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State | TN
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Zip | 37620-5919
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Country | US
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Telephone | 865-588-3173
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Fax |
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Provider Business Mailing Address
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Address Line | 4800 N SCOTTSDALE RD STE 2500
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-7630
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Country | US
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Telephone | 865-588-3173
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Fax | 276-676-3390
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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 | 0701005067
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License Number State | VA
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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 | 3276
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License Number State | TN
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