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General NPI Number Information
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NPI Number | 1578880217
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Entity Type | Individual
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Provider Name | WEDNESDAY ROSS LMSW
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Gender | Female
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Dates
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Enumeration Date | 04/20/2010
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Last Update Date | 04/20/2010
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Provider Practice Location Address
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Address Line | 8003 SILVERADO TRL
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City | MCKINNEY
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State | TX
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Zip | 75070-6822
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Country | US
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Telephone | 972-546-0551
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Fax | 972-540-0791
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Provider Business Mailing Address
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Address Line | PO BOX 6141
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City | MCKINNEY
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State | TX
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Zip | 75071-5104
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Country | US
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Telephone | 972-546-0551
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Fax | 972-540-0791
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 41675
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License Number State | TX
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