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General NPI Number Information
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NPI Number | 1174691034
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Entity Type | Individual
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Provider Name | LINDA ANN DOUGHTY WHITE M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 4511 DOWNMAN RD
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City | NEW ORLEANS
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State | LA
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Zip | 70126-3716
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Country | US
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Telephone | 504-245-4000
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Fax | 504-243-1005
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Provider Business Mailing Address
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Address Line | PO BOX 870458
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City | NEW ORLEANS
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State | LA
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Zip | 70187-0458
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Country | US
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Telephone | 504-494-6180
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Fax | 504-243-1005
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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 | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 05400R
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License Number State | LA
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