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General NPI Number Information
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NPI Number | 1710063722
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Entity Type | Individual
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Provider Name | WILLIAM LEE WHITING D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 1101 GULF BREEZE PKWY UNIT 13
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City | GULF BREEZE
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State | FL
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Zip | 32561-4862
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Country | US
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Telephone | 850-565-5074
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Fax | 850-565-5250
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Provider Business Mailing Address
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Address Line | 6043 VALHALLA AVE
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City | PENSACOLA
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State | FL
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Zip | 32507-4689
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Country | US
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Telephone | 757-641-4069
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0102201929
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | P8323
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | OS13132
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | OS13132
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License Number State | FL
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