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General NPI Number Information
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NPI Number | 1992198410
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Entity Type | Organization
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Legal Business Name | KATHERINE M WHIPPLE, MD, PC
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Dates
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Enumeration Date | 03/09/2015
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Last Update Date | 03/09/2015
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Provider Practice Location Address
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Address Line | 25 CINNAMON CIR
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City | FAIRPORT
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State | NY
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Zip | 14450-8768
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Country | US
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Telephone | 585-507-8365
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Fax |
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Provider Business Mailing Address
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Address Line | 25 CINNAMON CIR
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City | FAIRPORT
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State | NY
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Zip | 14450-8768
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Country | US
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Telephone | 585-507-8365
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. KATHERINE M WHIPPLE
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Credential | MD
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Telephone | 585-507-8365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number | 271321
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License Number State | NY
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