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General NPI Number Information
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NPI Number | 1184973190
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Entity Type | Organization
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Legal Business Name | PHILIP L WHITMANDPMPC
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 09/05/2012
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Provider Practice Location Address
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Address Line | 220 E 63RD ST
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City | NEW YORK
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State | NY
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Zip | 10065-7660
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Country | US
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Telephone | 212-473-8529
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Fax | 212-473-9447
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Provider Business Mailing Address
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Address Line | 65 FAYETTE RD
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City | SCARSDALE
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State | NY
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Zip | 10583-7155
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Country | US
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Telephone | 212-473-8529
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Fax | 212-473-9447
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. PHILIP LEWIS WHITMAN
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Credential | DPM
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Telephone | 212-473-8529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N002629
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License Number State | NY
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