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General NPI Number Information
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NPI Number | 1790891794
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Entity Type | Individual
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Provider Name | PEGGY J ALLMAN LIC. PSYCHOLOGIST
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Gender | Female
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1314 LOCUST AVE
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City | FAIRMONT
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State | WV
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Zip | 26554-1436
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Country | US
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Telephone | 304-367-0232
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Fax | 304-367-0233
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Provider Business Mailing Address
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Address Line | 415 WORTHINGTON DR
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City | BRIDGEPORT
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State | WV
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Zip | 26330-1432
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Country | US
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Telephone | 304-842-3918
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 124
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License Number State | WV
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