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General NPI Number Information
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NPI Number | 1578983144
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Entity Type | Individual
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Provider Name | JAMES HAZELTON WHELAN DPM
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Gender | Male
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Dates
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Enumeration Date | 04/23/2014
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Last Update Date | 03/31/2020
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Provider Practice Location Address
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Address Line | BELOIT HEALTH SYSTEM INC 1905 E. HUEBBE PARKWAY
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City | BELOIT
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State | WI
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Zip | 53511-1842
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Country | US
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Telephone | 608-364-1640
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Fax | 608-363-7393
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Provider Business Mailing Address
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Address Line | BELOIT HEALTH SYSTEM INC 1905 E. HUEBBE PARKWAY
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City | BELOIT
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State | WI
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Zip | 53511-1842
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Country | US
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Telephone | 608-364-2293
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Fax | 608-364-5452
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 367
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1114-25
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License Number State | WI
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