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General NPI Number Information
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NPI Number | 1972127348
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Entity Type | Individual
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Provider Name | EMILY WILSON LPC
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Gender | Female
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Dates
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Enumeration Date | 06/02/2020
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 519 S CARROLL BLVD STE 100
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City | DENTON
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State | TX
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Zip | 76201-7412
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Country | US
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Telephone | 940-230-2003
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Fax | 940-222-4648
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Provider Business Mailing Address
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Address Line | 8216 OAK CREEK LN
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City | DENTON
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State | TX
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Zip | 76208-2183
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Country | US
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Telephone | 940-230-2003
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Fax | 940-222-4648
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 80977
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License Number State | TX
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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 | 80977
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License Number State | TX
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