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General NPI Number Information
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NPI Number | 1376615609
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Entity Type | Organization
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Legal Business Name | DANNY L WHITING DDS PC
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2910 HAMILTON BLVD STE. 102
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City | SIOUX CITY
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State | IA
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Zip | 51104-2423
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Country | US
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Telephone | 712-258-5057
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Fax | 712-258-7963
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Provider Business Mailing Address
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Address Line | 2910 HAMILTON BLVD STE. 102
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City | SIOUX CITY
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State | IA
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Zip | 51104-2423
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Country | US
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Telephone | 712-258-5057
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Fax | 712-258-7963
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | DR. DANNY LAVERN WHITING
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Credential | D.D.S.
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Telephone | 712-258-5057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 5870
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License Number State | IA
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