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NPI Code Detail

MEDICARE: WHITNEY DOPICO MA

MEDICARE: WHITNEY DOPICO MA
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1578067674
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY DOPICO MA
Provider Business Mailing Address
First Line : 2198 HARRIS AVE NE
Second Line :
City : PALM BAY
State : FL
Zip : 32905-4002
Country : US
Telephone Number : 321-951-9750
Fax Number :
Provider Business Practice Location Address
First Line : 2198 HARRIS AVE NE
Second Line :
City : PALM BAY
State : FL
Zip : 32905-4002
Country : US
Telephone Number : 321-951-9750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2018
Last Update Date : 09/15/2025

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Directions to “ WHITNEY DOPICO MA” Practice Location

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