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General NPI Number Information
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NPI Number | 1730372129
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Entity Type | Individual
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Provider Name | PETER D. BILLINGS MS, LPC, NCC
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Gender | Male
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 04/17/2011
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Provider Practice Location Address
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Address Line | 1412 W WASHINGTON ST
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City | BOISE
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State | ID
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Zip | 83702-5038
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Country | US
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Telephone | 208-830-5059
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Fax | 208-367-9242
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Provider Business Mailing Address
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Address Line | 1412 W WASHINGTON ST
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City | BOISE
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State | ID
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Zip | 83702-5038
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Country | US
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Telephone | 208-830-5059
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Fax | 208-367-9242
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-3798
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License Number State | ID
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