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General NPI Number Information
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NPI Number | 1447247630
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Entity Type | Individual
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Provider Name | JAMES A WHITLOCK M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 02/04/2014
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Provider Practice Location Address
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Address Line | 70 BUTLER ST
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City | SALEM
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State | NH
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Zip | 03079-3925
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Country | US
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Telephone | 603-893-2900
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Fax | 603-898-4361
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Provider Business Mailing Address
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Address Line | 354 MERRIMACK ST
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City | LAWRENCE
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State | MA
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Zip | 01843-1754
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Country | US
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Telephone | 978-687-2321
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Fax | 978-685-7265
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 51356
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 7594
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License Number State | NH
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