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General NPI Number Information
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NPI Number | 1518871862
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Entity Type | Individual
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Provider Name | PATRICK RIGGS GORDON WHITNEY
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Gender | Male
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 12164 CENTRAL AVE STE 212
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City | MITCHELLVILLE
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State | MD
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Zip | 20721-1902
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Country | US
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Telephone | 240-929-4257
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Fax |
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Provider Business Mailing Address
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Address Line | 12760 BURCHARD DR SW
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City | PORT ORCHARD
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State | WA
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Zip | 98367-7328
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Country | US
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Telephone | 360-551-7834
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA.P1.61581537
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License Number State | WA
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