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General NPI Number Information
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NPI Number | 1366516585
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Entity Type | Individual
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Provider Name | ROBERT R WHITAKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 06/22/2015
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Provider Practice Location Address
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Address Line | 2001 N MACARTHUR BLVD STE 425
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City | IRVING
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State | TX
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Zip | 75061-2256
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Country | US
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Telephone | 972-253-2520
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Fax | 972-254-0952
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Provider Business Mailing Address
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Address Line | 2021 N MACARTHUR BLVD STE 150
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City | IRVING
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State | TX
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Zip | 75061-2219
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Country | US
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Telephone | 972-253-2520
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Fax | 972-254-0952
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | E2935
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License Number State | TX
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