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General NPI Number Information
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NPI Number | 1033099270
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Entity Type | Individual
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Provider Name | WEDNESDAY MCKINNEY
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Gender | Female
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 6730 HORIZON RD STE C
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City | HEATH
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State | TX
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Zip | 75032-2081
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Country | US
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Telephone | 214-906-6039
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Fax |
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Provider Business Mailing Address
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Address Line | 308 MUNSON ST
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City | ROCKWALL
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State | TX
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Zip | 75087-3733
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 100046
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License Number State | TX
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