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General NPI Number Information
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NPI Number | 1649741646
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Entity Type | Individual
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Provider Name | ERIKA WADFORD BA
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Gender | Female
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Dates
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Enumeration Date | 12/17/2018
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 14535 CORDIAL LN APT 306
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-3368
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Country | US
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Telephone | 843-513-0964
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Fax |
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Provider Business Mailing Address
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Address Line | 14535 CORDIAL LN APT 306
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-3368
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Country | US
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Telephone | 184-383-0444
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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 |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | BACB475185
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-21-46964
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License Number State | NC
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