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NPI 1841371424

NPI 1841371424 : NORMAN M WHISENANT D.O. : NEW BRAUNFELS, TX

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General NPI Number Information
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    NPI Number           |    1841371424
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    Entity Type          |    Individual 
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    Provider Name        |    NORMAN M WHISENANT D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/18/2006
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    Last Update Date     |    02/20/2023
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Provider Practice Location Address
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    Address Line         |    614 C SOUTH BUSINESS IH 35 #44 
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    City                 |    NEW BRAUNFELS
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    State                |    TX
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    Zip                  |    78130
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    Country              |    US
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    Telephone            |    210-710-4265
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    Fax                  |    830-620-5405
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Provider Business Mailing Address
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    Address Line         |    614 C SOUTH BUSINESS IH 35 #44 
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    City                 |    NEW BRAUNFELS
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    State                |    TX
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    Zip                  |    78130
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    Country              |    US
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    Telephone            |    210-710-4265
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    Fax                  |    830-620-0330
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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        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    K3948
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    License Number State |    TX
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