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General NPI Number Information
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NPI Number | 1104960160
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Entity Type | Individual
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Provider Name | JAMES GREGORY WHITE D.M.D., M.S.D.
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Gender | Male
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 02/26/2020
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Provider Practice Location Address
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Address Line | 118 W 8TH ST
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City | LONDON
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State | KY
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Zip | 40741-1714
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Country | US
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Telephone | 606-877-1900
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Fax | 606-877-1755
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Provider Business Mailing Address
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Address Line | 105 SPRUCE ST
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City | LEXINGTON
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State | KY
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Zip | 40507-2109
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Country | US
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Telephone | 859-300-3911
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Fax |
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 6263
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License Number State | KY
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