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General NPI Number Information
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NPI Number | 1043546229
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Entity Type | Organization
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Legal Business Name | KATHERINE L. WHITE, MD, PC
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Dates
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Enumeration Date | 10/23/2009
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Last Update Date | 10/23/2009
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Provider Practice Location Address
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Address Line | 39A CARLON DRIVE
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City | NORTHAMPTON
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State | MA
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Zip | 01060
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Country | US
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Telephone | 413-585-0010
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Fax | 413-585-0026
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Provider Business Mailing Address
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Address Line | 39A CARLON DRIVE
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City | NORTHAMPTON
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State | MA
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Zip | 01060
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Country | US
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Telephone | 413-585-0010
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Fax | 413-585-0026
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Authorized Official
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Title or Position | OWNER
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Name | DR. KATHERINE L WHITE
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Credential | MD
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Telephone | 413-585-0010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 229832
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License Number State | MA
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