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General NPI Number Information
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NPI Number | 1730335183
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Entity Type | Individual
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Provider Name | HUNT N. WHITEHEAD D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/15/2008
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Last Update Date | 08/13/2019
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Provider Practice Location Address
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Address Line | 500 W SOUTHLAKE BLVD STE 134
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6165
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Country | US
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Telephone | 817-424-4044
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Fax |
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Provider Business Mailing Address
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Address Line | 8821 DAVIS BLVD, BLDG 3, STE.320 8821 DAVIS BLVD, BLDG 3, STE., 320
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City | KELLER
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State | TX
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Zip | 76248
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Country | US
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Telephone | 817-223-6566
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Fax | 817-424-5806
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7356
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License Number State | TX
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