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General NPI Number Information
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NPI Number | 1760077135
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Entity Type | Individual
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Provider Name | BRANDI WHITMAN LSW
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Gender | Female
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Dates
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Enumeration Date | 03/07/2021
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 825 EDEN RD
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City | LANCASTER
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State | PA
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Zip | 17601-4713
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Country | US
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Telephone | 717-462-7003
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Fax |
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Provider Business Mailing Address
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Address Line | 107 OAKEN WAY
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City | MYERSTOWN
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State | PA
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Zip | 17067-3317
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | CW023543
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License Number State | PA
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