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General NPI Number Information
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NPI Number | 1083643969
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Entity Type | Organization
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Legal Business Name | WENDY L DAVIS
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1205 N FAYETTEVILLE ST SUITE 102
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City | ASHEBORO
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State | NC
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Zip | 27203-4537
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Country | US
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Telephone | 336-629-4471
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Fax | 336-629-5805
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Provider Business Mailing Address
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Address Line | 1205 N FAYETTEVILLE ST SUITE 102
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City | ASHEBORO
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State | NC
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Zip | 27203-4537
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Country | US
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Telephone | 336-629-4471
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Fax | 336-629-5805
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Authorized Official
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Title or Position | PROPRIETOR
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Name | MS. WENDY L DAVIS
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Credential | MS, LPC
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Telephone | 336-629-4471
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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 | 3057
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License Number State | NC
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