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General NPI Number Information
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NPI Number | 1598989204
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Entity Type | Individual
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Provider Name | LINDSAY J PEACHEY N.C.C.
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 516 E JACKSON ST
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City | MACOMB
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State | IL
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Zip | 61455-2311
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Country | US
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Telephone | 309-836-6500
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Fax | 309-836-6506
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Provider Business Mailing Address
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Address Line | 1950 N BROAD ST
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City | GALESBURG
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State | IL
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Zip | 61401-1449
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Country | US
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Telephone | 309-344-2381
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 212936
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License Number State | IL
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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 |
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License Number State | IL
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