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General NPI Number Information
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NPI Number | 1821365404
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Entity Type | Individual
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Provider Name | WENDY KAY POLLOCK MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 11/25/2011
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 14 EASTBROOK BND STE 107
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-1520
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Country | US
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Telephone | 303-913-6877
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Fax | 720-815-3162
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Provider Business Mailing Address
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Address Line | 200 DISCOVERY LAKE DR
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City | FAYETTEVILLE
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State | GA
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Zip | 30215-4696
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Country | US
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Telephone | 303-913-6877
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Fax | 720-815-3162
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-5984
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC011231
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License Number State | GA
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