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General NPI Number Information
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NPI Number | 1154732519
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Entity Type | Individual
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Provider Name | KATIE GRIFFIN WHIPPLE MUSIC THERAPIST
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Gender | Female
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Dates
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Enumeration Date | 05/19/2014
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Last Update Date | 05/19/2014
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Provider Practice Location Address
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Address Line | 120 W CAMPUS DR BOX 091
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-1990
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Country | US
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Telephone | 478-445-5288
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Fax | 478-445-3142
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Provider Business Mailing Address
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Address Line | 5050 SPRING VALLEY RD
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City | DALLAS
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State | TX
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Zip | 75244-3995
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Country | US
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Telephone | 800-555-9073
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Fax | 972-367-3452
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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 | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | MUT000005
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License Number State | GA
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