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NPI 1144290024

NPI 1144290024 : JULIA D WHITING MD : CHARLOTTESVILLE, VA

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General NPI Number Information
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    NPI Number           |    1144290024
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    Entity Type          |    Individual 
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    Provider Name        |    JULIA D WHITING MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/24/2006
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    Last Update Date     |    08/06/2008
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Provider Practice Location Address
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    Address Line         |    459 LOCUST AVE MB 26
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    City                 |    CHARLOTTESVILLE
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    State                |    VA
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    Zip                  |    22902-4808
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    Country              |    US
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    Telephone            |    434-982-7150
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    Fax                  |    434-982-7147
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Provider Business Mailing Address
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    Address Line         |    PO BOX 11647 
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    City                 |    DAYTONA BEACH
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    State                |    FL
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    Zip                  |    32120-1647
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    Country              |    US
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    Telephone            |    386-274-7800
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    Fax                  |    386-274-7801
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    0101052520
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    License Number State |    VA
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