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General NPI Number Information
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NPI Number | 1588948137
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Entity Type | Individual
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Provider Name | CAROL ANN WHITMIRE L.AC., P.T.
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Gender | Female
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Dates
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Enumeration Date | 09/30/2011
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Last Update Date | 09/30/2011
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Provider Practice Location Address
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Address Line | 2101 MT. VERNON AVE.
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City | ALEXANDRIA
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State | VA
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Zip | 22301
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Country | US
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Telephone | 703-706-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 W. ABINGDON DR. # 301
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City | ALEXANDRIA
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State | VA
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Zip | 22314-1065
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Country | US
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Telephone | 202-746-3830
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0121000277
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 2305004854
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License Number State | VA
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