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NPI Code Detail

MEDICARE: DR. GAIL MOIRA WHITELAW PH.D.

MEDICARE: DR. GAIL MOIRA WHITELAW PH.D.
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
1231H00000XAudiologistA0680OH

General Provider Information

NPI Number : 1457471930
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GAIL MOIRA WHITELAW PH.D.
Provider Business Mailing Address
First Line : 1070 CARMACK RD
Second Line : 141 PRESSEY HALL
City : COLUMBUS
State : OH
Zip : 43210-1002
Country : US
Telephone Number : 614-292-6251
Fax Number : 614-292-5723
Provider Business Practice Location Address
First Line : 1070 CARMACK RD
Second Line : 141 PRESSEY HALL
City : COLUMBUS
State : OH
Zip : 43210-1002
Country : US
Telephone Number : 614-292-6251
Fax Number : 614-292-5723
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2007
Last Update Date : 07/08/2007

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