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General NPI Number Information
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NPI Number | 1144043324
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Entity Type | Individual
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Provider Name | RONALD CARY WHITE PHARMACIST
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Gender | Male
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 201 N SCRAPER ST
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City | VINITA
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State | OK
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Zip | 74301-3209
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Country | US
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Telephone | 918-256-2541
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Fax | 918-256-5295
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Provider Business Mailing Address
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Address Line | 720 W JUNEAU ST
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City | BROKEN ARROW
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State | OK
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Zip | 74012-0767
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Country | US
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Telephone | 918-688-6345
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10060
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License Number State | OK
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