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General NPI Number Information
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NPI Number | 1508160508
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Entity Type | Individual
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Provider Name | BRITTANY PETERSON
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Gender | Female
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Dates
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Enumeration Date | 01/05/2011
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Last Update Date | 05/17/2021
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Provider Practice Location Address
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Address Line | 1911 WILLIAMS DR STE 150
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City | OXNARD
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State | CA
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Zip | 93036
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Country | US
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Telephone | 805-981-8460
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Fax | 805-981-8461
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Provider Business Mailing Address
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Address Line | 1911 WILLIAMS DR STE 150
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City | OXNARD
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State | CA
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Zip | 93036-2612
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Country | US
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Telephone | 805-981-8460
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Fax | 805-981-8461
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 15-231
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License Number State | CA
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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 | LMFT109074
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License Number State | CA
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