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General NPI Number Information
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NPI Number | 1427207893
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Entity Type | Organization
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Legal Business Name | CHANTAL G. WHITNEY, DDS, INC.
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 09/10/2008
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Provider Practice Location Address
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Address Line | 3401 RICHMOND ROAD SUITE 230
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City | BEACHWOOD
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State | OH
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Zip | 44122
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Country | US
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Telephone | 216-464-1169
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Fax | 216-464-1869
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Provider Business Mailing Address
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Address Line | 3401 RICHMOND ROAD SUITE 230
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City | BEACHWOOD
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State | OH
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Zip | 44122
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Country | US
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Telephone | 216-464-1169
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Fax | 216-464-1869
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHANTAL G. WHITNEY
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Credential | DDS
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Telephone | 216-464-1169
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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 | 30-01-4834
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License Number State | OH
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