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General NPI Number Information
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NPI Number | 1063054070
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Entity Type | Individual
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Provider Name | KAREN DONOHUE WHITFORD LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/10/2019
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 317 W 1ST ST STE 112
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City | OSWEGO
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State | NY
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Zip | 13126-3678
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Country | US
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Telephone | 315-216-6862
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Fax |
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Provider Business Mailing Address
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Address Line | 7625 W PORT BAY RD
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City | WOLCOTT
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State | NY
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Zip | 14590-9419
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Country | US
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Telephone | 315-401-5002
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | Q30011209
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0967831
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 227335
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License Number State | MA
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