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General NPI Number Information
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NPI Number | 1023232188
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Entity Type | Individual
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Provider Name | JOY BERNICE WHALEY NP
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 808 PROFESSIONAL BLVD
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City | DALTON
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State | GA
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Zip | 30720-2536
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Country | US
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Telephone | 706-226-2621
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Fax | 706-281-2325
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Provider Business Mailing Address
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Address Line | 388 BEAVERDALE RD NE
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City | DALTON
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State | GA
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Zip | 30721-8015
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Country | US
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Telephone | 706-259-5508
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Fax | 706-281-2325
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RN018253NP
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License Number State | GA
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