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General NPI Number Information
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NPI Number | 1053911370
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Entity Type | Individual
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Provider Name | SARAH MARIE WHITMAN PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 10/27/2020
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 500 HUBER PARK CT STE 205
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City | WELDON SPRING
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State | MO
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Zip | 63304-8683
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Country | US
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Telephone | 636-300-9922
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Fax |
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Provider Business Mailing Address
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Address Line | 212 TURTLE DR APT 210
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City | FENTON
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State | MO
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Zip | 63026-5346
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Country | US
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Telephone | 314-680-0420
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2020014105
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License Number State | MO
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