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General NPI Number Information
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NPI Number | 1003918897
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Entity Type | Individual
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Provider Name | GREGORY P WHITE MD
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Gender | Male
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 01/03/2012
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Provider Practice Location Address
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Address Line | 105 LEE PARKWAY DR SUITE E
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City | CHATTANOOGA
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State | TN
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Zip | 37421-6708
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Country | US
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Telephone | 423-800-0800
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Fax | 423-402-9466
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Provider Business Mailing Address
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Address Line | PO BOX 28389
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City | CHATTANOOGA
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State | TN
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Zip | 37424-8389
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Country | US
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Telephone | 423-800-0800
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Fax | 423-402-9466
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD0000017977
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License Number State | TN
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