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General NPI Number Information
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NPI Number | 1053614214
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Entity Type | Organization
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Legal Business Name | GEOFFREY G WHITE MD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 12/09/2010
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 966 CASS ST STE 100
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City | MONTEREY
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State | CA
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Zip | 93940-4540
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Country | US
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Telephone | 831-373-7733
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Fax | 831-373-3358
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Provider Business Mailing Address
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Address Line | 966 CASS ST STE 100
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City | MONTEREY
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State | CA
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Zip | 93940-4540
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Country | US
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Telephone | 831-373-7733
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Fax | 831-373-3358
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEOFFREY G WHITE
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Credential | M.D.
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Telephone | 831-373-7733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G15580
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License Number State | CA
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