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General NPI Number Information
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NPI Number | 1962173609
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Entity Type | Individual
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Provider Name | SOMARE N PEYTON
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Gender | Female
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Dates
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Enumeration Date | 09/22/2021
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 1110 KINGWOOD DR STE 120
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City | KINGWOOD
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State | TX
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Zip | 77339-2994
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Country | US
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Telephone | 832-401-9701
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 15TH ST
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City | HEMPSTEAD
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State | TX
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Zip | 77445-5859
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Country | US
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Telephone | 512-585-3874
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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 | 85759
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License Number State | TX
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