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General NPI Number Information
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NPI Number | 1790829372
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Entity Type | Individual
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Provider Name | DAVEEN WHITTLESEY M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 901 S CENTRAL EXPY NORTH BUILDING SECTION C
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City | RICHARDSON
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State | TX
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Zip | 75080-7302
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Country | US
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Telephone | 972-766-6195
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Fax | 972-766-8942
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Provider Business Mailing Address
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Address Line | 3784 PALLOS VERDAS DR
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City | DALLAS
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State | TX
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Zip | 75229-2740
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Country | US
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Telephone | 214-904-0757
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Fax | 972-766-8942
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D3125
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License Number State | TX
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