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General NPI Number Information
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NPI Number | 1497688733
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Entity Type | Individual
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Provider Name | WHITNEY LYNN GRAHAM
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Gender | Female
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Dates
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Enumeration Date | 06/05/2026
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Last Update Date | 06/05/2026
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Provider Practice Location Address
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Address Line | 9198A THRALL RD
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City | WOODRUFF
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State | WI
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Zip | 54568-9329
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Country | US
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Telephone | 715-439-4377
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 57
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City | PRESQUE ISLE
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State | WI
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Zip | 54557-0057
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Country | US
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Telephone | 715-439-4377
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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 |
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License Number State | WI
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