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General NPI Number Information
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NPI Number | 1528225935
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Entity Type | Organization
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Legal Business Name | GERALD R WHITSON, DDS, PA
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 02/06/2015
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Provider Practice Location Address
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Address Line | 2121 PEASE STREET SUITE 314
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City | HARLINGEN
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State | TX
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Zip | 78550
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Country | US
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Telephone | 956-412-0600
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Fax | 956-412-8808
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Provider Business Mailing Address
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Address Line | 2121 PEASE ST SUITE 314
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City | HARLINGEN
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State | TX
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Zip | 78550-8348
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Country | US
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Telephone | 956-412-0600
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Fax | 956-412-8808
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Authorized Official
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Title or Position | CLERICAL
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Name | DEBBIE GALVAN
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Credential |
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Telephone | 956-412-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 19313
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License Number State | TX
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