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General NPI Number Information
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NPI Number | 1871733758
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Entity Type | Individual
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Provider Name | STEVE K WHISENHUNT LICDC
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Gender | Male
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Dates
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Enumeration Date | 03/04/2009
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 3560 MARSHALL RD
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City | KETTERING
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State | OH
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Zip | 45429-4916
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Country | US
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Telephone | 937-760-2441
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Fax | 937-760-2441
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Provider Business Mailing Address
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Address Line | PO BOX 292012
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City | DAYTON
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State | OH
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Zip | 45429-0012
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Country | US
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Telephone | 937-760-2441
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Fax | 937-760-2441
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 913119
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License Number State | OH
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