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General NPI Number Information
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NPI Number | 1699817718
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Entity Type | Organization
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Legal Business Name | WHITING & ASSOCIATES, LLC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 618 SE 4TH ST STE 106
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City | LEES SUMMIT
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State | MO
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Zip | 64063-2908
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Country | US
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Telephone | 816-554-7750
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Fax | 816-554-7866
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Provider Business Mailing Address
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Address Line | 618 SE 4TH ST STE 106
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City | LEES SUMMIT
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State | MO
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Zip | 64063-2908
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Country | US
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Telephone | 816-554-7750
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Fax | 816-554-7866
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Authorized Official
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Title or Position | OWNER
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Name | DR. JERRI LYNN WHITING
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Credential | PH.D.
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Telephone | 816-554-7750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 1806
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License Number State | MO
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