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General NPI Number Information
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NPI Number | 1881857431
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Entity Type | Individual
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Provider Name | WENDY LEE NEWCOMB-BEATTIE LCMHC/LPC
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Gender | Female
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 263 MAGNOLIA DR
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City | WINTERVILLE
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State | NC
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Zip | 28590-8701
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Country | US
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Telephone | 732-330-1720
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 96
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City | WINTERVILLE
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State | NC
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Zip | 28590-0096
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Country | US
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Telephone | 732-330-1720
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7031
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License Number State | NC
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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 | 37PC00470100
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License Number State | NJ
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