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General NPI Number Information
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NPI Number | 1770716532
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Entity Type | Individual
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Provider Name | ADRIA CHANELL WHITLOW MSW, LCSW-S
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Gender | Female
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Dates
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Enumeration Date | 08/27/2009
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Last Update Date | 08/11/2023
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Provider Practice Location Address
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Address Line | 1990 LOUISVILLE RD STE 107
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City | BOWLING GREEN
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State | KY
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Zip | 42101-1202
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Country | US
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Telephone | 270-495-1222
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Fax | 859-209-6504
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Provider Business Mailing Address
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Address Line | 1990 LOUISVILLE RD STE 107
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City | BOWLING GREEN
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State | KY
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Zip | 42101-1202
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Country | US
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Telephone | 270-495-1222
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Fax | 859-209-6504
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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 | 252395
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License Number State | KY
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