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General NPI Number Information
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NPI Number | 1598180275
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Entity Type | Organization
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Legal Business Name | PEEP INC.
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Dates
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Enumeration Date | 03/04/2014
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Last Update Date | 03/04/2014
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Provider Practice Location Address
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Address Line | 1411 ORANGE ST
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City | MONROE
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State | LA
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Zip | 71202-2323
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Country | US
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Telephone | 318-322-0526
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Fax |
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Provider Business Mailing Address
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Address Line | 1411 ORANGE ST
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City | MONROE
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State | LA
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Zip | 71202-2323
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Country | US
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Telephone | 318-322-0526
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE ADMINISTRATOR
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Name | KENNETH HALL
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Credential | BS
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Telephone | 318-512-2505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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