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General NPI Number Information
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NPI Number | 1942734165
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Entity Type | Individual
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Provider Name | KATHRYN WHATLEY DPT
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Gender | Female
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 1006 BANKTON CIR BUILDING B
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City | HANAHAN
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State | SC
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Zip | 29410-2957
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Country | US
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Telephone | 856-229-9755
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Fax |
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Provider Business Mailing Address
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Address Line | 7 CARNEGIE PLZ
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City | CHERRY HILL
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State | NJ
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Zip | 08003-1000
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 7349
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License Number State | SC
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