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General NPI Number Information
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NPI Number | 1306953112
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Entity Type | Organization
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Legal Business Name | DRS. WHITAKER & ADAMS
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 10/13/2014
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Provider Practice Location Address
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Address Line | 3510 TORRANCE BLVD STE 210
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City | TORRANCE
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State | CA
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Zip | 90503-5675
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Country | US
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Telephone | 310-543-2711
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Fax | 310-540-1471
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Provider Business Mailing Address
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Address Line | 3510 TORRANCE BLVD STE 210
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City | TORRANCE
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State | CA
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Zip | 90503-4824
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Country | US
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Telephone | 310-543-2711
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Fax | 310-540-1471
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. JOHN WHITAKER
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Credential | D.D.S.
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Telephone | 310-543-2711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 23415
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License Number State | CA
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