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General NPI Number Information
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NPI Number | 1417919648
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Entity Type | Individual
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Provider Name | KARL WHITING DO
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Gender | Male
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 01/26/2023
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Provider Practice Location Address
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Address Line | 601 E I65 SERVICE RD S
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City | MOBILE
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State | AL
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Zip | 36606-3901
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Country | US
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Telephone | 251-479-4458
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Fax | 251-479-4824
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Provider Business Mailing Address
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Address Line | PO BOX 850531
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City | MOBILE
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State | AL
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Zip | 36685-0531
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Country | US
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Telephone | 251-479-4458
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Fax | 251-479-4824
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | S-A90-TA-658
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3A90TA658
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License Number State | AL
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