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General NPI Number Information
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NPI Number | 1912461427
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Entity Type | Individual
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Provider Name | EMILY ROSE WOLBERT MS, LCAT, MT-BC,
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Gender | Female
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Dates
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Enumeration Date | 01/29/2019
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 2510 CHILI AVE
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City | ROCHESTER
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State | NY
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Zip | 14624-3334
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Country | US
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Telephone | 585-340-7060
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Fax |
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Provider Business Mailing Address
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Address Line | 8028 W HENRIETTA RD
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City | RUSH
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State | NY
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Zip | 14543-9413
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Country | US
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Telephone | 585-340-7060
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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 | 002451
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License Number State | NY
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