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General NPI Number Information
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NPI Number | 1538882147
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Entity Type | Individual
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Provider Name | AUBREY ANNE WHITEHEAD
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Gender | Female
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 211 OAK ST
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City | BREMEN
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State | OH
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Zip | 43107-1035
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Country | US
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Telephone | 740-777-3240
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Fax |
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Provider Business Mailing Address
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Address Line | 211 OAK ST
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City | BREMEN
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State | OH
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Zip | 43107-1035
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Country | US
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Telephone | 740-777-3240
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1903520
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License Number State | OH
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