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General NPI Number Information
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NPI Number | 1821039991
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Entity Type | Individual
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Provider Name | BROOKS A WHITNEY MD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 02/26/2021
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Provider Practice Location Address
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Address Line | 5671 PEACHTREE DUNWOODY RD STE 620
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City | ATLANTA
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State | GA
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Zip | 30342-5006
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Country | US
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Telephone | 678-369-5454
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Fax | 678-369-5455
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Provider Business Mailing Address
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Address Line | MANGED CARE DEPARTMENT NORTHSIDE HOSPITAL 1000 JOHNSON FERRY RD NE
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City | ATLANTA
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State | GA
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Zip | 30342
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Country | US
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Telephone | 404-300-2476
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Fax | 404-250-8010
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 036903
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License Number State | GA
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