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General NPI Number Information
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NPI Number | 1356258149
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Entity Type | Individual
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Provider Name | JENNIFER LAUREN WHYTE
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Gender | Female
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 10 FORBES RD # 250E
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City | BRAINTREE
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State | MA
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Zip | 02184-2605
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Country | US
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Telephone | 781-630-4663
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Fax |
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Provider Business Mailing Address
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Address Line | 5 LOEW CIR
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City | MILTON
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State | MA
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Zip | 02186-1043
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Country | US
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Telephone | 650-380-2134
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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 | 10001623
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License Number State | MA
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