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General NPI Number Information
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NPI Number | 1245967363
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Entity Type | Individual
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Provider Name | WHITNEY CELESTE KELBAUGH LCSWA
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Gender | Female
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 110 W WOOD HILL DR
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City | NAGS HEAD
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State | NC
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Zip | 27959-9394
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Country | US
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Telephone | 252-648-6363
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Fax |
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Provider Business Mailing Address
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Address Line | 400 N MAIN ST
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City | FOUR OAKS
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State | NC
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Zip | 27524-7244
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Country | US
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Telephone | 919-464-5884
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P0175057
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License Number State | NC
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