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General NPI Number Information
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NPI Number | 1790600864
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Entity Type | Organization
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Legal Business Name | WAYNE WHITWAM MD INC A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 9850 GENESEE AVE STE 780
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City | LA JOLLA
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State | CA
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Zip | 92037-1232
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Country | US
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Telephone | 858-824-2900
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Fax | 858-824-2910
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Provider Business Mailing Address
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Address Line | 9850 GENESEE AVE STE 780
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City | LA JOLLA
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State | CA
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Zip | 92037-1232
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Country | US
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Telephone | 858-824-2900
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Fax | 858-824-2910
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Authorized Official
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Title or Position | PRESIDENT
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Name | WAYNE B WHITWAM
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Credential | MD
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Telephone | 858-824-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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