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General NPI Number Information
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NPI Number | 1376886325
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Entity Type | Individual
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Provider Name | WHITNEY TALBOTT GILLEY M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/28/2013
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 1 S MAIN ST UNIT 208
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City | MADISONVILLE
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State | KY
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Zip | 42431-2597
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Country | US
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Telephone | 270-216-0938
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Fax |
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Provider Business Mailing Address
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Address Line | 229 MADISON SQUARE DR # 239
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City | MADISONVILLE
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State | KY
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Zip | 42431-2743
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Country | US
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Telephone | 270-216-0938
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 51313
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 57874
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101262812
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License Number State | VA
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