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General NPI Number Information
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NPI Number | 1588628663
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Entity Type | Individual
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Provider Name | CHRISTIAN A. WHITTINGTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 4300 HIGHWAY 90
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City | CONWAY
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State | SC
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Zip | 29526-9630
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Country | US
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Telephone | 843-399-3377
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Fax | 843-399-3378
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Provider Business Mailing Address
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Address Line | 300 SINGLETON RIDGE RD ATTN PATIENT ACCOUNTING
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City | CONWAY
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State | SC
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Zip | 29526-9142
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Country | US
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Telephone | 843-234-6946
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 04-28408
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 44051
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 86594
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License Number State | SC
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