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General NPI Number Information
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NPI Number | 1699098277
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Entity Type | Individual
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Provider Name | WHITNEY LANE MCMAHAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/10/2010
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 2200 S MAIN ST STE 306
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City | LOMBARD
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State | IL
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Zip | 60148-5366
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Country | US
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Telephone | 630-209-4554
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Fax |
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Provider Business Mailing Address
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Address Line | 1929 STRATFORD AVE
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City | WESTCHESTER
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State | IL
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Zip | 60154-4251
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Country | US
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Telephone | 331-425-2847
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149016266
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | NC
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