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General NPI Number Information
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NPI Number | 1194002014
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Entity Type | Individual
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Provider Name | WENDY D WHARTON LPCMH
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Gender | Female
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Dates
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Enumeration Date | 11/06/2011
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Last Update Date | 11/06/2011
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Provider Practice Location Address
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Address Line | 1325 MOUNT HERMON RD SUITE 10-B
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City | SALISBURY
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State | MD
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Zip | 21804-5259
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Country | US
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Telephone | 888-581-5433
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Fax | 410-820-4088
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Provider Business Mailing Address
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Address Line | 30297 DISCOUNT LAND RD
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City | LAUREL
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State | DE
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Zip | 19956-3673
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Country | US
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Telephone | 302-542-5298
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | PC-0000371
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License Number State | DE
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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 | PC-0000371
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC-0000371
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License Number State | DE
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