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General NPI Number Information
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NPI Number | 1659619815
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Entity Type | Individual
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Provider Name | AMBER PETERS ED.S.
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Gender | Female
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Dates
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Enumeration Date | 01/23/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 533 CHURCH ST. #167
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City | NASHVILLE
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State | TN
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Zip | 37219-5994
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Country | US
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Telephone | 815-298-3849
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Fax |
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Provider Business Mailing Address
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Address Line | 2338 ZERMATT AVE
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City | NASHVILLE
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State | TN
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Zip | 37211-8323
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Country | US
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Telephone | 815-298-3849
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-15-17968
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 316
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-15-17968
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License Number State | AR
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