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General NPI Number Information
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NPI Number | 1720229479
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Entity Type | Individual
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Provider Name | KATHRYN WHALEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/10/2009
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Last Update Date | 03/10/2009
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Provider Practice Location Address
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Address Line | 185 S ORANGE AVE
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City | NEWARK
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State | NJ
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Zip | 07103-2757
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Country | US
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Telephone | 973-972-0470
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Fax |
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Provider Business Mailing Address
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Address Line | 609 JEFFERSON ST APT 3C
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City | HOBOKEN
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State | NJ
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Zip | 07030-8004
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Country | US
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Telephone | 201-683-6662
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 22-1775306
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License Number State | NJ
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