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General NPI Number Information
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NPI Number | 1336569599
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Entity Type | Individual
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Provider Name | WHITNEY CARROLL MCFADDEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/25/2014
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Last Update Date | 04/22/2022
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Provider Practice Location Address
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Address Line | 635 PINE AVE APT 506
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City | LONG BEACH
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State | CA
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Zip | 90802-1379
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Country | US
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Telephone | 301-651-0866
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Fax |
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Provider Business Mailing Address
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Address Line | 635 PINE AVE APT 506
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City | LONG BEACH
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State | CA
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Zip | 90802-1379
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Country | US
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Telephone | 301-651-0866
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 282050
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 281353-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 176428
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 477389
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License Number State | PA
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