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General NPI Number Information
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NPI Number | 1457203564
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Entity Type | Organization
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Legal Business Name | JASON WHIPPLE PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 1605 CYGNUS CT
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City | NORTH POLE
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State | AK
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Zip | 99705-5079
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Country | US
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Telephone | 907-388-7123
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Fax |
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Provider Business Mailing Address
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Address Line | 1605 CYGNUS CT
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City | NORTH POLE
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State | AK
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Zip | 99705-5079
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Country | US
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Telephone | 907-388-7123
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Fax |
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Authorized Official
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Title or Position | OWNER/AGENT
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Name | DR. JASON LEE WHIPPLE
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Credential | PHD
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Telephone | 978-388-7123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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