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General NPI Number Information
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NPI Number | 1891174918
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Entity Type | Individual
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Provider Name | STEPHANIE WHARTON PHD, LPCMH, NCC
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Gender | Female
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Dates
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Enumeration Date | 05/21/2015
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Last Update Date | 06/12/2018
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Provider Practice Location Address
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Address Line | 5149 W WOODMILL DR STE 20
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City | WILMINGTON
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State | DE
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Zip | 19808
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Country | US
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Telephone | 484-883-6523
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Fax |
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Provider Business Mailing Address
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Address Line | 5149 W WOODMILL DR STE 20
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City | WILMINGTON
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State | DE
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Zip | 19808-4067
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Country | US
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Telephone | 484-620-3593
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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 | PC-0000716
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License Number State | DE
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Taxonomy #2
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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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