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General NPI Number Information
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NPI Number | 1467534628
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Entity Type | Individual
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Provider Name | JOEL MICHAEL WHARTON M.A., P.C.C.
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Gender | Male
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7413 MAXTOWN RD
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City | WESTERVILLE
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State | OH
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Zip | 43082-9040
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Country | US
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Telephone | 614-818-4099
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Fax | 614-898-0532
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Provider Business Mailing Address
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Address Line | 1771 REDCLOUD DR
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City | POWELL
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State | OH
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Zip | 43065-9008
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Country | US
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Telephone | 614-764-4841
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E0004201
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License Number State | OH
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