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General NPI Number Information
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NPI Number | 1437351673
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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 | 06/01/2007
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Last Update Date | 04/14/2011
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Provider Practice Location Address
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Address Line | 1205 N FAYETTEVILLE ST
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City | ASHEBORO
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State | NC
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Zip | 27203-4595
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Country | US
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Telephone | 336-629-4471
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Fax |
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Provider Business Mailing Address
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Address Line | 649 WOODLAND CIR
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City | ASHEBORO
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State | NC
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Zip | 27203-4583
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Country | US
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Telephone | 336-629-4471
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Fax |
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Authorized Official
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Title or Position | INDIVIDUAL/SOLE PROPRIETOR
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Name | MS. WENDY DAVIS
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Credential |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 937
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License Number State | NC
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