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General NPI Number Information
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NPI Number | 1518949270
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Entity Type | Individual
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Provider Name | BRADFORD P. WHITCOMB M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/17/2005
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 801 N 29TH ST
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City | BILLINGS
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State | MT
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Zip | 59101-0905
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Country | US
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Telephone | 406-435-7340
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Fax | 406-435-7349
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Provider Business Mailing Address
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Address Line | BILLINGS CLINIC CANCER CENTER 801 N. 29TH STREET
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City | BILLINGS
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State | MT
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Zip | 59101
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Country | US
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Telephone | 406-435-7340
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Fax | 406-435-7349
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2002012320
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 055981
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number | 128973
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License Number State | MT
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