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General NPI Number Information
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NPI Number | 1164602926
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Entity Type | Individual
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Provider Name | JUSTIN T WHISENANT MD
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Gender | Male
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Dates
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Enumeration Date | 11/09/2007
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 6500 38TH AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33710-1629
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Country | US
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Telephone | 727-384-1414
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Fax | 727-345-8075
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Provider Business Mailing Address
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Address Line | 909 FROSTWOOD DR STE 1.100
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City | HOUSTON
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State | TX
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Zip | 77024-2301
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Country | US
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Telephone | 713-338-5519
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Fax | 713-704-3086
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 2011015524
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | N4199
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | MD2022-1392
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | ME128898
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | ME128898
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | FW1856371
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License Number State | CO
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