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General NPI Number Information
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NPI Number | 1629140827
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Entity Type | Individual
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Provider Name | MARY CATHARINE WHITESIDE LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 29 RAVENSCROFT DR STE 205
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City | ASHEVILLE
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State | NC
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Zip | 28801-3602
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Country | US
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Telephone | 828-252-2501
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Fax | 828-639-8025
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Provider Business Mailing Address
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Address Line | 169 MONTFORD AVE
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City | ASHEVILLE
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State | NC
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Zip | 28801-2101
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Country | US
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Telephone | 828-215-5971
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Fax | 828-639-8025
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C004308
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License Number State | NC
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