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General NPI Number Information
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NPI Number | 1114812245
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Entity Type | Individual
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Provider Name | CHRISTINE G WARGO M.ED
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Gender | Female
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 124 S MAIN ST
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City | COOPERSBURG
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State | PA
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Zip | 18036-1913
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Country | US
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Telephone | 610-282-5735
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Fax |
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Provider Business Mailing Address
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Address Line | 1612 VALLEY FORGE RD
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City | ALLENTOWN
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State | PA
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Zip | 18104-1738
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Country | US
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Telephone | 610-428-7226
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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 |
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License Number State |
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