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General NPI Number Information
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NPI Number | 1972456127
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Entity Type | Individual
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Provider Name | PEYTON LOUISE NEISHMAN
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Gender | Female
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 235 E 8TH ST
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City | WYOMING
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State | PA
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Zip | 18644-2010
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Country | US
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Telephone | 570-655-1667
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Fax |
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Provider Business Mailing Address
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Address Line | 215 CHERRY ST FL 2
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City | DUNMORE
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State | PA
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Zip | 18512-3000
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Country | US
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Telephone | 570-589-9021
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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 | BH008062
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License Number State | PA
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