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General NPI Number Information
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NPI Number | 1831191691
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Entity Type | Organization
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Legal Business Name | WHITFORD FAMILY MEDICINE, P.C.
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 01/07/2009
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Provider Practice Location Address
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Address Line | 102 SCHUBERT DR
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-3382
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Country | US
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Telephone | 610-873-2155
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Fax | 610-873-8494
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Provider Business Mailing Address
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Address Line | 102 SCHUBERT DR
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-3382
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Country | US
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Telephone | 610-873-2155
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Fax | 610-873-8494
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | GARY ALAN COOPERSTEIN
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Credential | D.O.
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Telephone | 610-873-2155
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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 | OS-005991-L
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License Number State | PA
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