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General NPI Number Information
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NPI Number | 1184873127
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Entity Type | Individual
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Provider Name | AUDRA WHATLEY L.AC.
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Gender | Female
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Dates
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Enumeration Date | 09/15/2008
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Last Update Date | 09/15/2008
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Provider Practice Location Address
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Address Line | 490 N KENTUCKY ST
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City | MCKINNEY
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State | TX
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Zip | 75069
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Country | US
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Telephone | 214-551-4734
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Fax | 972-540-9044
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Provider Business Mailing Address
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Address Line | 2504 DOUGLAS DR
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City | MCKINNEY
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State | TX
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Zip | 75071-2746
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Country | US
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Telephone | 214-551-4734
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Fax | 972-540-9044
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC#00745
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License Number State | TX
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