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General NPI Number Information
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NPI Number | 1710186861
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Entity Type | Organization
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Legal Business Name | MARTHA L. WHITNEY
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 326 N ROYAL AVE
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City | FRONT ROYAL
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State | VA
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Zip | 22630-2618
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Country | US
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Telephone | 540-631-0999
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Fax |
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Provider Business Mailing Address
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Address Line | 326 N ROYAL AVE
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City | FRONT ROYAL
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State | VA
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Zip | 22630-2618
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Country | US
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Telephone | 540-631-0999
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Fax |
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Authorized Official
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Title or Position | L.M.F.T.
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Name | MS. MARTHA L. WHITNEY
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Credential | L.M.F.T.
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Telephone | 540-631-0999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 0717000975
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License Number State | VA
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