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General NPI Number Information
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NPI Number | 1881615292
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Entity Type | Individual
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Provider Name | EDWARD B MCWHIRT MD
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Gender | Male
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 07/22/2011
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Provider Practice Location Address
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Address Line | 1718 PARR AVE SUITE A
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City | DYERSBURG
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State | TN
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Zip | 38024-2071
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Country | US
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Telephone | 731-286-4445
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Fax | 731-286-4452
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Provider Business Mailing Address
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Address Line | PO BOX 1578
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City | FULTON
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State | KY
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Zip | 42041-0578
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Country | US
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Telephone | 270-472-3200
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Fax | 270-472-2523
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | KY27719
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 21307
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License Number State | TN
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