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General NPI Number Information
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NPI Number | 1699880294
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Entity Type | Organization
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Legal Business Name | JOHN F WHITT JR DDS PA
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 121 GRIFFIN VIEW DR
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City | LAKE LAKE
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State | FL
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Zip | 32159
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Country | US
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Telephone | 352-259-3636
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Fax | 352-259-2447
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Provider Business Mailing Address
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Address Line | 121 GRIFFIN VIEW DR
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City | LAKE LAKE
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State | FL
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Zip | 32159
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Country | US
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Telephone | 352-259-3636
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Fax | 352-259-2447
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN F WHITT JR.
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Credential | DDS
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Telephone | 352-259-3636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DN0009355
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License Number State | FL
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