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General NPI Number Information
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NPI Number | 1972327468
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Entity Type | Organization
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Legal Business Name | WHISNERS AGDS SERVICES
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 407 STREETS RUN RD STE 201
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City | PITTSBURGH
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State | PA
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Zip | 15236-2008
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Country | US
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Telephone | 724-812-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 125 DEEMS PARK RD
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City | DAISYTOWN
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State | PA
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Zip | 15427-1093
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Country | US
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Telephone | 724-802-5132
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | JAMES WHISNER
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Credential | LCSW
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Telephone | 724-802-5132
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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 |
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License Number State |
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