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General NPI Number Information
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NPI Number | 1104969781
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Entity Type | Organization
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Legal Business Name | WCDC, INC.
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1425 W 5TH ST
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City | WASHINGTON
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State | IA
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Zip | 52353-2904
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Country | US
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Telephone | 319-653-7248
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Fax | 319-653-7249
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Provider Business Mailing Address
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Address Line | 1425 W 5TH ST P.O. BOX 61
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City | WASHINGTON
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State | IA
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Zip | 52353-2904
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Country | US
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Telephone | 319-653-7248
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Fax | 319-653-7249
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Authorized Official
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Title or Position | VICE PRESIDENT OF BUSINESS PRACTICE
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Name | CAROLYN SUE SCHMIDT
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Credential |
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Telephone | 319-653-7248
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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 |
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License Number State |
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