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NPI Code Detail

MEDICARE: WHITNEY N MCFADDEN

MEDICARE:   WHITNEY N MCFADDEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374700000XTechnicianFV9622917FL

General Provider Information

NPI Number : 1336965656
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY N MCFADDEN
Provider Business Mailing Address
First Line : 3321 NW 47TH TER APT 134
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33319-6719
Country : US
Telephone Number : 954-826-7280
Fax Number :
Provider Business Practice Location Address
First Line : 3321 NW 47TH TER APT 134
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33319-6719
Country : US
Telephone Number : 954-826-7280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2024
Last Update Date : 12/02/2024

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Directions to “ WHITNEY N MCFADDEN ” Practice Location

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