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NPI Code Detail

MEDICARE: MRS. VIRGINIA D WHITTINGTON MSW

MEDICARE: MRS. VIRGINIA D WHITTINGTON MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorSW5658FL

General Provider Information

NPI Number : 1023019866
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VIRGINIA D WHITTINGTON MSW
Provider Business Mailing Address
First Line : 2328 MANATEE AVE W
Second Line :
City : BRADENTON
State : FL
Zip : 34205-5432
Country : US
Telephone Number : 941-708-0896
Fax Number : 941-747-1696
Provider Business Practice Location Address
First Line : 2328 MANATEE AVE W
Second Line :
City : BRADENTON
State : FL
Zip : 34205-5432
Country : US
Telephone Number : 941-708-0896
Fax Number : 941-747-1696
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 07/08/2007

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