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General NPI Number Information
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NPI Number | 1952576597
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Entity Type | Organization
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Legal Business Name | J FRANKLIN WHIPPS
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Dates
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Enumeration Date | 04/24/2008
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Last Update Date | 04/24/2008
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Provider Practice Location Address
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Address Line | 1020 JONAS STREET
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City | CENTRALIA
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State | IL
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Zip | 62801
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Country | US
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Telephone | 618-532-1821
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Fax | 618-532-1915
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Provider Business Mailing Address
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Address Line | 1020 JONAS STREET
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City | CENTRALIA
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State | IL
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Zip | 62801
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Country | US
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Telephone | 618-532-1821
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Fax | 618-532-1915
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | JOHN FRANKLIN WHIPPS
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Credential | DMD
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Telephone | 618-532-1821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 021000787ORTHODONTIS
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019013703DENTIST
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License Number State | IL
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