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General NPI Number Information
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NPI Number | 1013727726
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Entity Type | Individual
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Provider Name | JADYN WHITSITT
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Gender | Female
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 211 N UNION ST STE 100
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2643
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Country | US
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Telephone | 240-308-5272
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Fax |
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Provider Business Mailing Address
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Address Line | 485 S INDEPENDENCE BLVD STE 115
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1129
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Country | US
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Telephone | 240-308-5272
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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