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General NPI Number Information
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NPI Number | 1023839644
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Entity Type | Individual
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Provider Name | ERICA MICHELE WASKEY
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Gender | Female
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 1212 E CHURCHVILLE RD STE 200
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City | BEL AIR
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State | MD
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Zip | 21014-3481
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Country | US
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Telephone | 443-595-7627
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Fax |
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Provider Business Mailing Address
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Address Line | 1306 FOREST OAK CT
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City | BEL AIR
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State | MD
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Zip | 21015-6178
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Country | US
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Telephone | 443-255-7640
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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 | LGP15788
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License Number State | MD
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