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General NPI Number Information
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NPI Number | 1689821795
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Entity Type | Organization
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Legal Business Name | WHOLEKIDS PEDIATRICS, LLC
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Dates
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Enumeration Date | 08/20/2008
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Last Update Date | 08/20/2008
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Provider Practice Location Address
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Address Line | 72 W 3RD AVE
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City | COLUMBUS
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State | OH
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Zip | 43201-5201
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Country | US
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Telephone | 614-596-7301
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Fax | 614-487-9412
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Provider Business Mailing Address
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Address Line | 72 W 3RD AVE
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City | COLUMBUS
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State | OH
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Zip | 43201-5201
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Country | US
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Telephone | 614-596-7301
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Fax | 614-487-9412
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DHANAWANTI SANT
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Credential | MD
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Telephone | 614-596-7301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35069473J
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License Number State | OH
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