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General NPI Number Information
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NPI Number | 1841261666
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Entity Type | Individual
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Provider Name | BETH A WHITTINGTON M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 05/26/2010
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Provider Practice Location Address
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Address Line | 1185 W CARMEL DR D-3
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City | CARMEL
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State | IN
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Zip | 46032-8706
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Country | US
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Telephone | 317-249-0990
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Fax | 317-249-0999
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Provider Business Mailing Address
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Address Line | 1185 W CARMEL DR D-3
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City | CARMEL
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State | IN
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Zip | 46032-8706
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Country | US
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Telephone | 317-249-0990
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Fax | 317-249-0999
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 01058120
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 01058120A
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License Number State | IN
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