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General NPI Number Information
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NPI Number | 1619481546
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Entity Type | Individual
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Provider Name | CARA A. WHITTUM CDE
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Gender | Female
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Dates
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Enumeration Date | 11/30/2017
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Last Update Date | 11/30/2017
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Provider Practice Location Address
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Address Line | 21 HAMPTON RD
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City | EXETER
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State | NH
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Zip | 03833-4831
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Country | US
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Telephone | 603-418-6310
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Fax |
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Provider Business Mailing Address
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Address Line | 100 GILES RD
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City | EAST KINGSTON
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State | NH
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Zip | 03827-2010
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Country | US
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Telephone | 603-770-1169
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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 | 224Y00000X
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Taxonomy Name | Clinical Exercise Physiologist
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License Number | 1986
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License Number State | NH
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