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NPI 1801611520

NPI 1801611520 : WHITTNI HOLLAND LMSW : PRINCE FREDERICK, MD

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General NPI Number Information
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    NPI Number           |    1801611520
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    Entity Type          |    Individual 
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    Provider Name        |    WHITTNI HOLLAND LMSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/18/2024
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    Last Update Date     |    11/18/2024
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Provider Practice Location Address
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    Address Line         |    975 SOLOMONS ISLAND RD N 
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    City                 |    PRINCE FREDERICK
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    State                |    MD
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    Zip                  |    20678-3917
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    Country              |    US
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    Telephone            |    410-535-5400
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    105 BOOTHHAVEN LN 
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    City                 |    OWINGS
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    State                |    MD
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    Zip                  |    20736-3172
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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       |    25671
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    License Number State |    MD
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