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General NPI Number Information
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NPI Number | 1992932370
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Entity Type | Individual
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Provider Name | PAMELA C PELDO LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/12/2009
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Last Update Date | 06/12/2009
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Provider Practice Location Address
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Address Line | 1 E ALGER ST SUITE 200
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City | SHERIDAN
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State | WY
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Zip | 82801-3911
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Country | US
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Telephone | 307-675-1999
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Fax | 307-675-1997
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Provider Business Mailing Address
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Address Line | 1740 S MOUNTAIN VIEW DR
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City | SHERIDAN
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State | WY
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Zip | 82801-3223
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Country | US
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Telephone | 307-751-7900
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Fax | 307-675-1997
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT-096
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License Number State | WY
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