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General NPI Number Information
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NPI Number | 1518673391
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Entity Type | Individual
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Provider Name | ROSS WHITMAN MA, LLPC
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Gender | Male
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Dates
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Enumeration Date | 01/25/2023
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 1055 GEZON PKWY SW
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City | WYOMING
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State | MI
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Zip | 49509-9542
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Country | US
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Telephone | 290-861-6773
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Fax |
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Provider Business Mailing Address
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Address Line | 787 SONOMA CT
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City | HOLLAND
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State | MI
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Zip | 49423-6802
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Country | US
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Telephone | 734-735-1541
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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 |
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