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General NPI Number Information
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NPI Number | 1912984774
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Entity Type | Organization
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Legal Business Name | GEORGEMILLER, WHYTE & ASSOCIATES, PC
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 03/18/2019
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Provider Practice Location Address
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Address Line | 800 E NORTHWEST HIGHWAY STE 206
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-3457
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Country | US
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Telephone | 847-696-1100
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Fax | 847-696-9515
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Provider Business Mailing Address
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Address Line | 800 E NORTHWEST HIGHWAY STE 206
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City | MOUNT PROSPECT
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State | IL
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Zip | 60056-3457
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Country | US
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Telephone | 847-696-1100
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Fax | 847-696-9515
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | BONNIE LEE WHYTE
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Credential | PH.D.
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Telephone | 847-696-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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