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General NPI Number Information
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NPI Number | 1104760495
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Entity Type | Organization
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Legal Business Name | THE WHITESIDE AGENCY
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 42746 MOUND RD STE 101
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City | STERLING HEIGHTS
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State | MI
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Zip | 48314-3254
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Country | US
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Telephone | 313-218-5723
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Fax |
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Provider Business Mailing Address
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Address Line | 13876 BOURNEMUTH DR
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48315-2861
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Country | US
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Telephone | 313-218-5723
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. APRIL JEANINE WHITESIDE
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Credential | RN
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Telephone | 313-218-5723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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