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General NPI Number Information
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NPI Number | 1033315767
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Entity Type | Organization
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Legal Business Name | D & J WHITE, INC.
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3008 E 87TH ST
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City | TULSA
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State | OK
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Zip | 74137-2505
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Country | US
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Telephone | 918-296-9171
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Fax | 918-296-9170
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Provider Business Mailing Address
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Address Line | 3008 E 87TH ST
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City | TULSA
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State | OK
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Zip | 74137-2505
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Country | US
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Telephone | 918-296-9171
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Fax | 918-296-9170
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Authorized Official
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Title or Position | OWNER&PRESIDENT
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Name | MR. DOUGLAS M. WHITE
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Credential |
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Telephone | 918-296-9171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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