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General NPI Number Information
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NPI Number | 1407940414
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Entity Type | Individual
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Provider Name | RAYMOND WAYNE WHITTED M.D., M.P.H.
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 8740 N KENDALL DR SUITE 101
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City | MIAMI
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State | FL
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Zip | 33176-2212
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Country | US
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Telephone | 305-596-3744
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Fax | 305-596-3676
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Provider Business Mailing Address
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Address Line | 699 NE 50TH TER
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City | MIAMI
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State | FL
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Zip | 33137-3022
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Country | US
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Telephone | 305-754-2450
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | ME 0077737
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License Number State | FL
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