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General NPI Number Information
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NPI Number | 1134255763
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Entity Type | Individual
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Provider Name | DAVID P WHITAKER MSPT
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Gender | Male
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 4512 CHAPMAN HWY
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City | KNOXVILLE
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State | TN
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Zip | 37920-4359
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Country | US
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Telephone | 865-577-7779
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Fax |
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Provider Business Mailing Address
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Address Line | 1337 S INTERNATIONAL PKWY STE 1321
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City | LAKE MARY
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State | FL
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Zip | 32746-1402
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Country | US
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Telephone | 407-833-0802
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Fax | 407-833-8931
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT18521
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 8889
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License Number State | TN
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