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General NPI Number Information
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NPI Number | 1033842273
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Entity Type | Individual
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Provider Name | ERIN WADE MS, LPC, LCPC
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Gender | Female
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 610 E DIAMOND AVE STE 100
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City | GAITHERSBURG
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State | MD
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Zip | 20877-5321
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Country | US
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Telephone | 301-840-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 16 WHITE OAK BLVD
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City | MECHANICSBURG
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State | PA
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Zip | 17050-7929
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Country | US
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Telephone | 270-791-8384
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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 | PC014540
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LC13705
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License Number State | MD
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