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General NPI Number Information
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NPI Number | 1225328552
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Entity Type | Organization
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Legal Business Name | ROBERT P C WHITTIER MD PA
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 04/21/2011
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Provider Practice Location Address
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Address Line | 1879 PROFESSIONAL PARK CIR
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4506
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Country | US
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Telephone | 850-878-2134
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Fax | 850-878-3892
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Provider Business Mailing Address
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Address Line | 1879 PROFESSIONAL PARK CIR
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4506
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Country | US
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Telephone | 850-878-2134
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Fax | 850-878-3892
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. ROBERT P C WHITTIER
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Credential | MD
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Telephone | 850-878-2134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME10852
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License Number State | FL
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