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General NPI Number Information
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NPI Number | 1306397740
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Entity Type | Individual
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Provider Name | ADDISON WHITNEY WEST MCCABE DPT
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Gender | Female
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Dates
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Enumeration Date | 10/20/2016
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Last Update Date | 06/18/2019
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Provider Practice Location Address
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Address Line | 5101 4TH AVENUE CIR E 500
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City | BRADENTON
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State | FL
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Zip | 34208-5630
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Country | US
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Telephone | 941-792-1404
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Fax |
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Provider Business Mailing Address
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Address Line | 6015 POINTE WEST BLVD
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City | BRADENTON
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State | FL
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Zip | 34209-5525
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Country | US
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Telephone | 417-588-5625
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 31706
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License Number State | FL
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