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General NPI Number Information
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NPI Number | 1245596055
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Entity Type | Organization
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Legal Business Name | THE MEDICAL PROFESSION, LLC
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Dates
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Enumeration Date | 04/05/2012
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Last Update Date | 10/19/2012
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Provider Practice Location Address
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Address Line | 5301 RENO CORPORATE DR.
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City | RENO
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State | NV
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Zip | 89511
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Country | US
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Telephone | 775-329-5555
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Fax | 775-827-4613
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Provider Business Mailing Address
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Address Line | 5301 RENO CORPORATE DR.
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City | RENO
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State | NV
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Zip | 89511
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Country | US
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Telephone | 775-329-5555
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Fax | 775-827-4613
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. ROBIN WHITE
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Credential | MD
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Telephone | 775-329-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | NV4312
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License Number State | NV
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