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General NPI Number Information
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NPI Number | 1275408635
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Entity Type | Individual
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Provider Name | DAMIEN HUNTER WHITE DC
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Gender | Male
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 139 CONFERENCE CENTER WAY STE 101A
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City | BRIDGEPORT
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State | WV
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Zip | 26330-9177
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Country | US
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Telephone | 304-808-6985
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Fax |
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Provider Business Mailing Address
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Address Line | 192 WHISPERING PINES RD
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City | WESTON
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State | WV
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Zip | 26452-7900
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Country | US
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Telephone | 304-439-9601
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1110
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License Number State | WV
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