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General NPI Number Information
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NPI Number | 1225184559
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Entity Type | Individual
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Provider Name | LEE A WHITNEY DMD
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Gender | Female
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Dates
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Enumeration Date | 01/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 261 ACADEMY AVE
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City | PROVIDENCE
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State | RI
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Zip | 02908-4144
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Country | US
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Telephone | 401-831-0557
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Fax | 401-884-4341
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Provider Business Mailing Address
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Address Line | 261 ACADEMY AVE
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City | PROVIDENCE
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State | RI
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Zip | 02908-4144
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Country | US
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Telephone | 401-831-0557
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Fax | 401-884-4341
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D2372
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License Number State | RI
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