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General NPI Number Information
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NPI Number | 1205573110
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Entity Type | Individual
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Provider Name | EMMA THERESE WHITCOMB LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/13/2022
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 6424 E GREENWAY PKWY
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-2045
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Country | US
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Telephone | 470-454-0451
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Fax |
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Provider Business Mailing Address
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Address Line | 30937 W PICADILLY RD
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City | BUCKEYE
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State | AZ
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Zip | 85396-6853
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Country | US
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Telephone | 470-454-0451
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT001917
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT-7376T
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License Number State | AZ
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