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General NPI Number Information
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NPI Number | 1811530850
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Entity Type | Individual
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Provider Name | CHARMAINE QUARLES
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Gender | Female
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Dates
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Enumeration Date | 10/22/2019
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Last Update Date | 10/22/2019
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Provider Practice Location Address
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Address Line | 2607 N HARRISON ST
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City | WILMINGTON
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State | DE
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Zip | 19802-2922
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Country | US
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Telephone | 302-562-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 7 CREEK LN
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City | NEWARK
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State | DE
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Zip | 19702-5936
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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 | AC0000291
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License Number State | DE
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