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General NPI Number Information
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NPI Number | 1528927035
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Entity Type | Individual
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Provider Name | AMY ELIZABETH WHITTAKER MA
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Gender | Female
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 308 WOLFE ST
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-5925
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Country | US
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Telephone | 540-370-6983
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Fax | 540-427-7912
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Provider Business Mailing Address
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Address Line | 308 WOLFE ST
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-5925
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Country | US
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Telephone | 540-370-6983
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Fax | 540-427-7912
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 0704018844
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License Number State | VA
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