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General NPI Number Information
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NPI Number | 1154220846
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Entity Type | Individual
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Provider Name | NATHAN JOHN WHITING-WAGNER PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 6681 RIDGE RD
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City | PARMA
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State | OH
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Zip | 44129-5713
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Country | US
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Telephone | 216-358-2786
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Fax | 216-332-5650
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Provider Business Mailing Address
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Address Line | 6681 RIDGE RD
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City | PARMA
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State | OH
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Zip | 44129-5713
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Country | US
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Telephone | 216-358-2786
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Fax | 216-332-5650
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03447443
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License Number State | OH
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