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General NPI Number Information
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NPI Number | 1578279105
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Entity Type | Individual
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Provider Name | STEPHANIE PECKHAM LPC
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Gender | Female
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Dates
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Enumeration Date | 01/26/2023
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 13925 W MEEKER BLVD STE 9
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City | SUN CITY WEST
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State | AZ
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Zip | 85375-4431
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Country | US
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Telephone | 480-780-3030
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Fax | 480-780-0406
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Provider Business Mailing Address
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Address Line | 7373 N SCOTTSDALE RD STE D120
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City | SCOTTSDALE
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State | AZ
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Zip | 85253-3506
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Country | US
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Telephone | 480-660-8757
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LAC-20142
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License Number State | AZ
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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 | 23387
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License Number State | AZ
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