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General NPI Number Information
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NPI Number | 1912061573
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Entity Type | Individual
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Provider Name | JULIE A WHITEHOUSE MD
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Gender | Female
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 2812 OLD LEE HWY STE 210A
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City | FAIRFAX
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State | VA
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Zip | 22031-4367
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Country | US
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Telephone | 703-642-6633
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Fax |
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Provider Business Mailing Address
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Address Line | 2812 OLD LEE HWY STE 210A
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City | FAIRFAX
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State | VA
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Zip | 22031-4367
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Country | US
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Telephone | 703-642-6633
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD-11357
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 207PE0005X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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License Number | 0101240813
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101240813
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License Number State | VA
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