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General NPI Number Information
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NPI Number | 1881776003
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Entity Type | Organization
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Legal Business Name | KINION E. WHITTINGTON, DO APC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 09/30/2008
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Provider Practice Location Address
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Address Line | 1400 BRYAN DR SUITE 202
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City | DURANT
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State | OK
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Zip | 74701-2156
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Country | US
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Telephone | 580-920-2122
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Fax | 580-920-9976
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Provider Business Mailing Address
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Address Line | PO BOX 579
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City | DURANT
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State | OK
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Zip | 74702-0579
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Country | US
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Telephone | 580-920-2122
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Fax | 580-920-9976
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MELISSA CALDWELL
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Credential |
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Telephone | 580-920-2122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 3723
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License Number State | OK
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