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General NPI Number Information
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NPI Number | 1861692980
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Entity Type | Organization
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Legal Business Name | JOHN W WHITMIRE DC PC
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 08/03/2016
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Provider Practice Location Address
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Address Line | 1127 BROADWAY ST NE SUITE 360
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City | SALEM
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State | OR
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Zip | 97301-1123
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Country | US
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Telephone | 503-999-5883
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Fax | 503-373-3685
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Provider Business Mailing Address
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Address Line | 1127 BROADWAY ST NE SUITE 360
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City | SALEM
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State | OR
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Zip | 97301-1123
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Country | US
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Telephone | 503-999-5883
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Fax | 503-373-3685
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Authorized Official
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Title or Position | SECRETARY/TREASURER
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Name | MRS. VIRGINIA K WHITMIRE
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Credential |
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Telephone | 503-363-3483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1179
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License Number State | OR
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