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General NPI Number Information
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NPI Number | 1598281719
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Entity Type | Organization
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Legal Business Name | WHITEHALL ANIMAL HOSPITAL, NMRK, LLC
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Dates
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Enumeration Date | 08/18/2017
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Last Update Date | 08/18/2017
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Provider Practice Location Address
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Address Line | 4199 E MAIN ST
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City | COLUMBUS
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State | OH
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Zip | 43213-3029
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Country | US
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Telephone | 614-235-9164
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Fax |
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Provider Business Mailing Address
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Address Line | 4199 E MAIN ST
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City | COLUMBUS
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State | OH
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Zip | 43213-3029
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, HEAD VETERINARIAN
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Name | DR. ANNE DUFFUS
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Credential | DVM
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Telephone | 614-235-9164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 6692
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License Number State | OH
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