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General NPI Number Information
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NPI Number | 1568401222
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Entity Type | Individual
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Provider Name | ALAN L WHITON M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 09/22/2014
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Provider Practice Location Address
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Address Line | 1110 VILLAGE DR
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City | SEVIERVILLE
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State | TN
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Zip | 37862-5028
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Country | US
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Telephone | 865-453-0792
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Fax | 865-429-5006
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Provider Business Mailing Address
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Address Line | 1110 VILLAGE DR
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City | SEVIERVILLE
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State | TN
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Zip | 37862-5028
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Country | US
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Telephone | 865-453-0792
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Fax | 865-429-5006
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD16423
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License Number State | TN
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