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General NPI Number Information
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NPI Number | 1871306662
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Entity Type | Individual
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Provider Name | CARL WHITTINGTON
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Gender | Male
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 640 COURT ST
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City | WEST BRANCH
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State | MI
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Zip | 48661-9390
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Country | US
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Telephone | 989-345-7474
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 WELLNESS DR
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City | MIDLAND
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State | MI
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Zip | 48670-2000
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Country | US
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Telephone | 844-832-1956
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Fax | 989-633-5241
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704323390
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License Number State | MI
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