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General NPI Number Information
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NPI Number | 1720947948
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Entity Type | Individual
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Provider Name | KANIETRICE NICOLE WHITFIELD PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 5601 DE SOTO AVE
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-6798
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Country | US
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Telephone | 833-574-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 21021 ERWIN ST APT 312
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-3839
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Country | US
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Telephone | 251-209-0993
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95038312
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License Number State | CA
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