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General NPI Number Information
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NPI Number | 1952310120
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Entity Type | Individual
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Provider Name | JAMES R WHIDDON MD
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Gender | Male
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Dates
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Enumeration Date | 08/06/2006
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 9300 E 29TH ST N #320
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City | WICHITA
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State | KS
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Zip | 67226-2182
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Country | US
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Telephone | 316-858-7100
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Fax | 316-858-7103
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Provider Business Mailing Address
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Address Line | 4900 S MONACO ST #210
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City | DENVER
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State | CO
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Zip | 80237-3486
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Country | US
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Telephone | 316-858-7100
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Fax | 316-858-7103
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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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 0427804
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License Number State | KS
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