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General NPI Number Information
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NPI Number | 1396067963
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Entity Type | Individual
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Provider Name | ADAM JAMES WHALEN D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/23/2010
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 10550 DEERWOOD PARK BLVD STE 609A
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City | JACKSONVILLE
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State | FL
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Zip | 32256-0596
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Country | US
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Telephone | 904-513-3954
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Fax | 904-212-0223
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Provider Business Mailing Address
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Address Line | 1090 HREZENT VIEW LN
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City | WEBSTER
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State | NY
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Zip | 14580-8973
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Country | US
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Telephone | 585-750-9615
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH9918
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License Number State | FL
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