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General NPI Number Information
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NPI Number | 1538183629
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Entity Type | Individual
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Provider Name | JENNIFER TAYLOR WHITFIELD LCPC
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2601 8TH ST NE CENTER FOR MENTAL HEALTH/NORTH MIDDLE SCHOOL
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City | GREAT FALLS
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State | MT
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Zip | 59404-1604
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Country | US
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Telephone | 406-268-6571
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Fax | 406-761-0554
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Provider Business Mailing Address
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Address Line | 3601 8TH AVE S
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City | GREAT FALLS
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State | MT
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Zip | 59405-3431
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Country | US
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Telephone | 406-453-3154
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1179 LCPC
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License Number State | MT
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