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General NPI Number Information
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NPI Number | 1477416121
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Entity Type | Individual
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Provider Name | EMILIE PELTIER
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Gender | Female
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 812 E SAINT MARY BLVD
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City | LAFAYETTE
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State | LA
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Zip | 70503-2334
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Country | US
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Telephone | 985-446-6833
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1137
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City | THIBODAUX
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State | LA
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Zip | 70302-1137
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Country | US
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Telephone | 985-447-7905
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Fax | 985-447-7907
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | L-1053
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License Number State | LA
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