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General NPI Number Information
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NPI Number | 1265553499
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Entity Type | Organization
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Legal Business Name | WHISPERING PINES, INC.
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 11/18/2010
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Provider Practice Location Address
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Address Line | 7771 HIGHWAY 72 W SUITE D
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City | MADISON
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State | AL
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Zip | 35758-8813
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Country | US
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Telephone | 256-430-1700
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Fax | 256-830-5132
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Provider Business Mailing Address
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Address Line | 7771 HIGHWAY 72 W SUITE D
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City | MADISON
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State | AL
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Zip | 35758-8813
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Country | US
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Telephone | 256-430-1700
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Fax | 256-830-5132
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Authorized Official
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Title or Position | VP
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Name | DR. JOHNNIE PAUL BARNES
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Credential | O.D.
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Telephone | 256-430-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | R101-TA-207
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License Number State | AL
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