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General NPI Number Information
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NPI Number | 1487746244
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Entity Type | Individual
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Provider Name | GORDON WAYNE PETERSEN MSW, LICSW
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 166 BATTERY ST
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City | BURLINGTON
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State | VT
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Zip | 05401-5283
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Country | US
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Telephone | 802-862-3373
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Fax |
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Provider Business Mailing Address
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Address Line | 763 NORTH AVE
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City | BURLINGTON
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State | VT
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Zip | 05401-2728
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Country | US
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Telephone | 802-862-9067
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 089-0000142
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License Number State | VT
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