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General NPI Number Information
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NPI Number | 1477726354
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Entity Type | Individual
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Provider Name | ELIZA JOYCE WHITTEN-HOSKINS MD
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Gender | Female
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Dates
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Enumeration Date | 04/10/2008
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 105 KEETON DR
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-8756
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Country | US
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Telephone | 270-887-6565
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Fax | 270-887-6575
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Provider Business Mailing Address
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Address Line | 1189 SANDSTREAM CT
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City | CLARKSVILLE
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State | TN
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Zip | 37042-8781
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Country | US
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Telephone | 931-217-0831
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 46881
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 52035
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License Number State | KY
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