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General NPI Number Information
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NPI Number | 1649784240
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Entity Type | Individual
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Provider Name | PEGGY SUE ESCOBEDO MS
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Gender | Female
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Dates
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Enumeration Date | 11/20/2017
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 2740 S 7TH ST
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City | TERRE HAUTE
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State | IN
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Zip | 47802
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Country | US
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Telephone | 812-244-3919
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Fax | 812-234-7575
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Provider Business Mailing Address
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Address Line | 27 ALLENDALE
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City | TERRE HAUTE
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State | IN
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Zip | 47802-4751
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Country | US
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Telephone | 812-244-3919
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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 | 88000488A
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License Number State | IN
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