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General NPI Number Information
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NPI Number | 1447369715
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Entity Type | Individual
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Provider Name | PEGGY LYNN VOLTERS M.S., PCCS, IMFT
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 04/16/2018
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Provider Practice Location Address
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Address Line | 925 CONGRESS PARK DR STE C
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City | DAYTON
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State | OH
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Zip | 45459-4098
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Country | US
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Telephone | 937-242-3298
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Fax |
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Provider Business Mailing Address
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Address Line | 925 CONGRESS PARK DR STE C
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City | DAYTON
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State | OH
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Zip | 45459-4098
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Country | US
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Telephone | 937-242-3298
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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 | E-0005587
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | F024
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License Number State | OH
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