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General NPI Number Information
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NPI Number | 1609710482
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Entity Type | Individual
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Provider Name | PAUL NICHOLAS HENRY
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Gender | Male
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 2057 PULASKI HWY
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City | NORTH EAST
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State | MD
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Zip | 21901-3744
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Country | US
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Telephone | 443-877-4044
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Fax |
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Provider Business Mailing Address
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Address Line | 1311 N ORANGE ST
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City | WILMINGTON
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State | DE
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Zip | 19801-1138
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | MD
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