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General NPI Number Information
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NPI Number | 1629208954
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Entity Type | Individual
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Provider Name | DEBORAH CLARE WHITEHOUSE PSYCHIATRIC ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/21/2009
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Last Update Date | 07/21/2009
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Provider Practice Location Address
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Address Line | 239 W MAIN ST CITY HALL GROUND FLOOR
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City | RICHMOND
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State | KY
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Zip | 40475-1592
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Country | US
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Telephone | 859-623-1633
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Fax |
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Provider Business Mailing Address
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Address Line | 521 LANCASTER AVE 204 ROWLETT BUILDING
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City | RICHMOND
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State | KY
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Zip | 40475-3100
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Country | US
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Telephone | 859-622-1523
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 1031777
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 379P
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License Number State | KY
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