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General NPI Number Information
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NPI Number | 1164816914
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Entity Type | Individual
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Provider Name | NIKKI WHISLER PTA
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Gender | Female
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Dates
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Enumeration Date | 03/18/2015
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 55 S 2ND ST
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-2207
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Country | US
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Telephone | 717-264-6815
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Fax |
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Provider Business Mailing Address
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Address Line | 5865 STAMEY HILL RD
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City | WAYNESBORO
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State | PA
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Zip | 17268-9632
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Country | US
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Telephone | 717-360-6274
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Fax |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | TEI000972
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License Number State | PA
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