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General NPI Number Information
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NPI Number | 1285958793
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Entity Type | Organization
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Legal Business Name | LILLIAN R. WHITE MD PA
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Dates
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Enumeration Date | 03/26/2010
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Last Update Date | 05/31/2022
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Provider Practice Location Address
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Address Line | 5068 W PLANO PKWY SUITE 100
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City | PLANO
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State | TX
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Zip | 75093-4408
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Country | US
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Telephone | 972-312-9292
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Fax | 972-312-9995
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Provider Business Mailing Address
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Address Line | 5068 W PLANO PKWY SUITE 100
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City | PLANO
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State | TX
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Zip | 75093-4408
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Country | US
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Telephone | 972-312-9292
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Fax | 972-312-9995
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Authorized Official
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Title or Position | PHYSICIAN
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Name | LILLIAN RENEE WHITE
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Credential | MD
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Telephone | 972-312-9292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | K2136
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License Number State | TX
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