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General NPI Number Information
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NPI Number | 1194906909
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Entity Type | Organization
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Legal Business Name | DANIEL R. WHIPPLE MD PC
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 04/04/2011
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Provider Practice Location Address
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Address Line | 8244 E US HIGHWAY 36 STE 200
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City | AVON
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State | IN
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Zip | 46123-9621
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Country | US
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Telephone | 317-272-2020
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Fax | 317-272-6544
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Provider Business Mailing Address
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Address Line | 8244 E US HIGHWAY 36 STE 200
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City | AVON
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State | IN
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Zip | 46123-9621
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Country | US
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Telephone | 317-272-2020
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Fax | 317-272-6544
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL R. WHIPPLE
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Credential | M.D.
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Telephone | 317-272-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 01039952
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License Number State | IN
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