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General NPI Number Information
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NPI Number | 1629827597
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Entity Type | Individual
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Provider Name | HARSIMRAN KAUR WADWHA
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Gender | Female
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Dates
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Enumeration Date | 05/14/2024
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 1952 E ALLEGHENY AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19134-3122
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Country | US
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Telephone | 215-291-8151
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Fax |
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Provider Business Mailing Address
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Address Line | 49-5 REVERE RD
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City | DREXEL HILL
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State | PA
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Zip | 19026-5331
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Country | US
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Telephone | 475-225-7078
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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 | 1232773
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License Number State | PA
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