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General NPI Number Information
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NPI Number | 1225166283
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Entity Type | Individual
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Provider Name | DEBORAH A. WHITCOMB M.A.
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 08/20/2014
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Provider Practice Location Address
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Address Line | 16800 DEVONSHIRE ST STE 212
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City | GRANADA HILLS
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State | CA
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Zip | 91344-7409
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Country | US
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Telephone | 818-399-7972
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Fax |
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Provider Business Mailing Address
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Address Line | 17942 COHASSET ST
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City | RESEDA
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State | CA
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Zip | 91335-3229
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Country | US
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Telephone | 818-399-7972
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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