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General NPI Number Information
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NPI Number | 1912280991
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Entity Type | Individual
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Provider Name | PAMELA WILLIAMS PETERS M.A., L.M.H.C.
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Gender | Female
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Dates
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Enumeration Date | 09/26/2011
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Last Update Date | 09/26/2011
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Provider Practice Location Address
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Address Line | 2204 BREVARD AVE
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City | FORT MYERS
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State | FL
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Zip | 33901-3518
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Country | US
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Telephone | 239-574-4387
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 152405
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City | CAPE CORAL
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State | FL
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Zip | 33915-2405
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Country | US
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Telephone | 239-574-4387
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | MH10843
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License Number State | FL
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