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General NPI Number Information
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NPI Number | 1356093520
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Entity Type | Individual
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Provider Name | ERIN MARIE WHITEHOUSE PMHNP
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Gender | Female
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Dates
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Enumeration Date | 01/19/2022
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Last Update Date | 05/25/2022
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Provider Practice Location Address
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Address Line | 1353 W MAIN ST
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City | LEXINGTON
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State | KY
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Zip | 40508-2065
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Country | US
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Telephone | 855-591-0092
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Fax | 502-637-9660
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Provider Business Mailing Address
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Address Line | 743 TIMBERLINE ST
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City | VILLA HILLS
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State | KY
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Zip | 41017-1065
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Country | US
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Telephone | 513-846-1243
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3017136
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0030495
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License Number State | OH
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