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General NPI Number Information
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NPI Number | 1427868660
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Entity Type | Individual
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Provider Name | WHITNEY MICHELE WILSON ALMFT
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Gender | Female
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 311 N 2ND ST UNIT 203
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City | ST CHARLES
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State | IL
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Zip | 60174-1850
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Country | US
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Telephone | 630-377-5105
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Fax |
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Provider Business Mailing Address
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Address Line | 465 CIMARRON DR W
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City | AURORA
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State | IL
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Zip | 60504-5215
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Country | US
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Telephone | 618-214-8265
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 208.001278
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License Number State | IL
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