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General NPI Number Information
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NPI Number | 1063492429
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Entity Type | Individual
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Provider Name | HEATHER L. WHITESEL DPM
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Gender | Female
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Dates
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Enumeration Date | 01/20/2006
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Last Update Date | 06/07/2011
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Provider Practice Location Address
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Address Line | 740 S. LIMESTONE K-454
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City | LEXINGTON
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State | KY
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Zip | 40536-0284
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Country | US
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Telephone | 859-323-1293
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Fax | 916-683-7290
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Provider Business Mailing Address
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Address Line | 740 S. LIMESTONE K-454
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City | LEXINGTON
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State | KY
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Zip | 40536-0284
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Country | US
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Telephone | 859-323-1293
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Fax | 859-323-3823
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | SC005829
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E4735
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 00357
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License Number State | KY
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