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General NPI Number Information
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NPI Number | 1003248147
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Entity Type | Individual
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Provider Name | BARBARA J WILSON L.C.P.C.
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Gender | Female
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Dates
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Enumeration Date | 07/31/2013
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Last Update Date | 07/31/2013
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Provider Practice Location Address
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Address Line | 16220 FREDERICK RD SUITE 502
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City | GAITHERSBURG
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State | MD
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Zip | 20877-4039
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Country | US
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Telephone | 301-978-9750
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Fax |
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Provider Business Mailing Address
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Address Line | 4607 WOODFIELD RD
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City | BETHESDA
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State | MD
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Zip | 20814-4043
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Country | US
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Telephone | 301-530-4099
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC5009
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License Number State | MD
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