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General NPI Number Information
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NPI Number | 1790768364
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Entity Type | Individual
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Provider Name | WILLIAM CURTIS WHISLER MD
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Gender | Male
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 01/04/2019
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Provider Practice Location Address
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Address Line | 204 LEWIS AVE S SUITE 200
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City | WATERTOWN
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State | MN
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Zip | 55388-4500
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Country | US
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Telephone | 952-955-1963
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Fax | 952-955-1965
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Provider Business Mailing Address
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Address Line | 204 LEWIS AVE S STE 201
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City | WATERTOWN
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State | MN
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Zip | 55388-4502
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Country | US
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Telephone | 952-442-7015
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Fax | 952-442-7016
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 40838
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License Number State | MN
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