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General NPI Number Information
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NPI Number | 1588660740
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Entity Type | Individual
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Provider Name | NED J WHITCOMB MD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 3609 MISSION AVE STE A
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City | CARMICHAEL
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State | CA
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Zip | 95608-2955
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Country | US
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Telephone | 916-972-1888
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Fax | 916-972-7339
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Provider Business Mailing Address
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Address Line | 3609 MISSION AVE STE A
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City | CARMICHAEL
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State | CA
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Zip | 95608-2955
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Country | US
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Telephone | 916-972-1888
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Fax | 916-972-7339
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | C28868
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License Number State | CA
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