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General NPI Number Information
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NPI Number | 1033278205
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Entity Type | Individual
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Provider Name | MRS. PAMELA ANN WHITT
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Gender | Female
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 650 HOWE AVE SUITE 530
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City | SACRAMENTO
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State | CA
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Zip | 95825-4731
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Country | US
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Telephone | 916-614-2242
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Fax | 916-564-3160
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Provider Business Mailing Address
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Address Line | 6327 PLAYA DEL REY
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City | RANCHO MURIETA
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State | CA
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Zip | 95683-9257
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Country | US
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Telephone | 916-614-2242
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | A8472004
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License Number State | CA
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