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General NPI Number Information
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NPI Number | 1144247669
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Entity Type | Individual
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Provider Name | GARY E WHITMER LCSW
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 2934 VICTORIA MEADOW CT
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City | PLEASANTON
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State | CA
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Zip | 94566-6317
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Country | US
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Telephone | 510-548-0680
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Fax | 800-242-5103
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Provider Business Mailing Address
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Address Line | 282 PLEASANT DR
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City | ALIQUIPPA
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State | PA
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Zip | 15001-1321
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Country | US
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Telephone | 925-980-8632
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Fax | 800-242-5103
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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 | LCS 6431
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License Number State | CA
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