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General NPI Number Information
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NPI Number | 1962599548
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Entity Type | Organization
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Legal Business Name | LARRY D WHITING DDS PC
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 09/20/2007
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Provider Practice Location Address
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Address Line | 660 N CENTRAL EXPY #644
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City | PLANO
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State | TX
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Zip | 75074-6780
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Country | US
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Telephone | 972-881-7550
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Fax | 972-422-1552
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Provider Business Mailing Address
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Address Line | 660 N CENTRAL EXPY #644
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City | PLANO
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State | TX
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Zip | 75074-6780
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Country | US
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Telephone | 972-881-7550
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Fax | 972-422-1552
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | DR. LARRY DAVID WHITING
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Credential | DDS
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Telephone | 972-881-7550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 14009
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License Number State | TX
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