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General NPI Number Information
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NPI Number | 1679833099
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Entity Type | Organization
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Legal Business Name | JAY M. WHETSELL D.C, P.A.
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Dates
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Enumeration Date | 05/18/2012
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Last Update Date | 05/18/2012
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Provider Practice Location Address
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Address Line | 102 SOUTH HIGHWAY 377
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City | AUBREY
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State | TX
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Zip | 76227
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Country | US
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Telephone | 940-365-4000
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Fax | 940-365-4003
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Provider Business Mailing Address
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Address Line | 102 S HWY 377
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City | AUBREY
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State | TX
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Zip | 76227
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Country | US
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Telephone | 940-365-4000
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Fax | 940-365-4003
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. JAY M. WHETSELL
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Credential | D.C.
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Telephone | 940-365-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 9302
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License Number State | TX
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