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General NPI Number Information
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NPI Number | 1841618147
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Entity Type | Organization
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Legal Business Name | WHITNEY MCLAIN
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Dates
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Enumeration Date | 04/03/2014
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Last Update Date | 04/03/2014
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Provider Practice Location Address
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Address Line | 528 TAYLOR ST
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City | ZANESVILLE
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State | OH
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Zip | 43701-1915
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Country | US
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Telephone | 740-624-6095
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Fax |
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Provider Business Mailing Address
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Address Line | 528 TAYLOR STREET
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City | ZANESVILLE
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State | OH
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Zip | 43701
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Country | US
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Telephone | 740-624-6095
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Fax |
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Authorized Official
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Title or Position | LICENSED PRACTICAL NURSE
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Name | WHITNEY MCLAIN
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Credential | LPN
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Telephone | 740-624-6095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number | PN.143609-MEDS
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License Number State | OH
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