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General NPI Number Information
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NPI Number | 1306079199
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Entity Type | Organization
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Legal Business Name | MD WELLNESS AND WEIGHT MANAGEMENT, PLLC
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Dates
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Enumeration Date | 08/27/2009
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Last Update Date | 05/11/2011
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Provider Practice Location Address
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Address Line | 3352 WEST FRIENDLY AVENUE SUITE 125
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City | GREENSBORO
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State | NC
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Zip | 27410-4806
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Country | US
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Telephone | 877-291-3957
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Fax | 910-332-1048
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Provider Business Mailing Address
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Address Line | 2606 IRON GATE DR SUITE 100
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City | WILMINGTON
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State | NC
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Zip | 28412-2494
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Country | US
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Telephone | 877-291-3957
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Fax | 910-332-1048
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Authorized Official
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Title or Position | OWNER
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Name | DR. WARREN WHITE
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Credential | M.D.
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Telephone | 877-291-3957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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