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General NPI Number Information
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NPI Number | 1952979957
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Entity Type | Individual
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Provider Name | SAMUEL A WHITTIER MD
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Gender | Male
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Dates
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Enumeration Date | 06/15/2021
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 2020 PHILADELPHIA ST
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City | AMES
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State | IA
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Zip | 50010-8772
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Country | US
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Telephone | 515-232-2450
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Fax |
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Provider Business Mailing Address
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Address Line | 309 E CHURCH ST
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City | MARSHALLTOWN
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State | IA
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Zip | 50158-2919
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Country | US
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Telephone | 800-542-7956
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD-53930
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 9029-851
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License Number State | WI
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