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General NPI Number Information
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NPI Number | 1487009049
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Entity Type | Organization
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Legal Business Name | FE B WHITCOMB
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | 22 CRESTVIEW DR
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City | PITTSFORD
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State | NY
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Zip | 14534-2238
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Country | US
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Telephone | 585-451-6338
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Fax |
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Provider Business Mailing Address
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Address Line | 22 CRESTVIEW DR
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City | PITTSFORD
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State | NY
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Zip | 14534-2238
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Country | US
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Telephone | 585-451-6338
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Fax |
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Authorized Official
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Title or Position | VOLUNTEER
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Name | DR. FE B WHITCOMB
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Credential | MD
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Telephone | 585-451-6338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 1514441
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License Number State | NY
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