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General NPI Number Information
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NPI Number | 1255772455
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Entity Type | Individual
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Provider Name | REBECCA JILL WHISENANT LMT, CPT
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Gender | Female
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Dates
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Enumeration Date | 07/16/2013
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Last Update Date | 09/27/2013
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Provider Practice Location Address
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Address Line | 730 N NEW WARRINGTON RD
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City | PENSACOLA
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State | FL
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Zip | 32506-4247
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Country | US
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Telephone | 850-466-8734
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Fax |
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Provider Business Mailing Address
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Address Line | 102 W MORENO ST APT 2
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City | PENSACOLA
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State | FL
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Zip | 32501-2160
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Country | US
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Telephone | 850-736-2526
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Fax |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA#73337
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License Number State | FL
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