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NPI 1982603064

NPI 1982603064 : WHITNEY L. RINTELMAN PA-C : RICHMOND HILL, GA

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General NPI Number Information
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    NPI Number           |    1982603064
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    Entity Type          |    Individual 
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    Provider Name        |    WHITNEY L. RINTELMAN PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/20/2005
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    Last Update Date     |    08/16/2019
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Provider Practice Location Address
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    Address Line         |    60 EXCHANGE ST STE B7 
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    City                 |    RICHMOND HILL
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    State                |    GA
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    Zip                  |    31324-7646
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    Country              |    US
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    Telephone            |    912-756-2273
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    Fax                  |    912-756-3773
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Provider Business Mailing Address
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    Address Line         |    160 PARKER LN 
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    City                 |    RICHMOND HILL
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    State                |    GA
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    Zip                  |    31324-3789
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    Country              |    US
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    Telephone            |    570-772-5310
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    MA051088
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    MA051088
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    License Number State |    PA
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