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General NPI Number Information
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NPI Number | 1740258987
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Entity Type | Individual
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Provider Name | KATHRYN WHITESCARVER O.D.
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Gender | Female
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 1404 FORREST AVE STE 1
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City | DOVER
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State | DE
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Zip | 19904-3478
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Country | US
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Telephone | 302-346-2020
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Fax | 302-724-6549
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Provider Business Mailing Address
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Address Line | 8614 WESTWOOD CENTER DR FL 9
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City | VIENNA
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State | VA
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Zip | 22182-2442
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Country | US
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Telephone | 703-847-8899
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Fax | 571-223-6780
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618000370
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OP748
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | I3-0011430
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License Number State | DE
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