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General NPI Number Information
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NPI Number | 1558325191
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Entity Type | Individual
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Provider Name | JOHN E WHITCOMB M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 945 N 12TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53233-1305
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Country | US
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Telephone | 414-219-7880
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Fax |
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Provider Business Mailing Address
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Address Line | 7071 S 13TH ST STE 104
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City | OAK CREEK
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State | WI
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Zip | 53154-1466
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Country | US
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Telephone | 414-570-7106
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Fax | 414-570-7136
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 25743-020
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License Number State | WI
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