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General NPI Number Information
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NPI Number | 1497970263
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Entity Type | Individual
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Provider Name | GEORGE STANLEY WADDELL M.A.M.F.C. L.P.C.C.
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Gender | Male
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3019 FUTURA DR
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City | ROSWELL
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State | NM
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Zip | 88201-7701
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Country | US
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Telephone | 505-627-7655
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Fax |
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Provider Business Mailing Address
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Address Line | 3019 FUTURA DR
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City | ROSWELL
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State | NM
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Zip | 88201-7701
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Country | US
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Telephone | 505-627-7655
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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 | 0072031
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License Number State | NM
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