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General NPI Number Information
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NPI Number | 1063546604
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Entity Type | Individual
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Provider Name | BRIAN THOMAS WHITFIELD D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/10/2012
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Provider Practice Location Address
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Address Line | 29 NORTH ST
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City | PLYMOUTH
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State | MA
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Zip | 02360-8310
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Country | US
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Telephone | 508-747-2722
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Fax | 508-747-1499
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Provider Business Mailing Address
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Address Line | 26 NORTH ST
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City | PLYMOUTH
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State | MA
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Zip | 02360-3311
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Country | US
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Telephone | 508-747-2722
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Fax | 508-747-1499
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 676
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License Number State | MA
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