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General NPI Number Information
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NPI Number | 1750561601
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Entity Type | Individual
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Provider Name | WENDY D. HALE M.S.
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Gender | Female
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 08/15/2014
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Provider Practice Location Address
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Address Line | 140 SUMMIT CENTRE DR SUITE B
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City | COLUMBIA
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State | SC
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Zip | 29229-7612
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Country | US
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Telephone | 803-348-6359
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Fax | 803-348-6359
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Provider Business Mailing Address
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Address Line | 408 PLANTATION POINTE DR
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City | ELGIN
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State | SC
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Zip | 29045-8202
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Country | US
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Telephone | 803-348-6359
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Fax | 803-348-6359
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4474
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License Number State | SC
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