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General NPI Number Information
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NPI Number | 1881893840
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Entity Type | Organization
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Legal Business Name | WHITNEY THOMPSON OPTOMETRY PSC
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 12/22/2008
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Provider Practice Location Address
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Address Line | 705 N RACE ST
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City | GLASGOW
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State | KY
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Zip | 42141-3040
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Country | US
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Telephone | 270-629-6060
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Fax |
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Provider Business Mailing Address
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Address Line | 337 JARED TYLER RD
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City | GLASGOW
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State | KY
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Zip | 42141-3540
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Country | US
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Telephone | 270-670-8666
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. WHITNEY LEIGH GENTRY
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Credential | O.D.
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Telephone | 270-629-6060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1703DT
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License Number State | KY
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