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General NPI Number Information
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NPI Number | 1891396131
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Entity Type | Organization
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Legal Business Name | WHIPLASHMD, LLC
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Dates
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Enumeration Date | 11/03/2020
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Last Update Date | 09/03/2021
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Provider Practice Location Address
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Address Line | 940 CENTRE CIR STE 1018
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-7242
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Country | US
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Telephone | 888-794-4752
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Fax | 855-927-5078
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Provider Business Mailing Address
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Address Line | 940 CENTRE CIR STE 1018
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-7242
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Country | US
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Telephone | 888-794-4752
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Fax | 407-789-0601
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | DR. LEONARD A. ROLLMAN
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Credential | DC
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Telephone | 888-794-4752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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