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General NPI Number Information
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NPI Number | 1972627818
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Entity Type | Individual
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Provider Name | STEPHANIE MISAKI WHITING MS, LMHC
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Gender | Female
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Dates
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Enumeration Date | 03/17/2007
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Last Update Date | 12/05/2017
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Provider Practice Location Address
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Address Line | 4477 EMMALANI DR
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City | PRINCEVILLE
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State | HI
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Zip | 96722-5417
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Country | US
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Telephone | 715-343-5256
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Fax |
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Provider Business Mailing Address
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Address Line | 4477 EMMALANI DR
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City | PRINCEVILLE
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State | HI
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Zip | 96722-5417
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Country | US
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Telephone | 808-639-5626
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 96
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License Number State | HI
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