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General NPI Number Information
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NPI Number | 1588965685
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Entity Type | Individual
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Provider Name | JAMES FRANCIS WHITTENBERG PHD, LPC-S, CSC
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Gender | Male
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Dates
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Enumeration Date | 11/06/2010
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Last Update Date | 04/10/2017
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Provider Practice Location Address
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Address Line | 1534 INTERNATIONAL BLVD STE F
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City | BROWNSVILLE
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State | TX
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Zip | 78520-6800
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Country | US
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Telephone | 956-434-4475
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 CALLE BUENOS AIRES
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City | BROWNSVILLE
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State | TX
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Zip | 78526-1172
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Country | US
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Telephone | 956-443-1003
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 64381
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License Number State | TX
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