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Individual
MR. CALEB SIMS WHITNEY
Active
Individual
MR. CALEB SIMS WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2060
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BOC314558
BOC
—
Enumeration date
11/21/2017
Last updated
06/16/2018
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