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General NPI Number Information
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NPI Number | 1306369210
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Entity Type | Individual
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Provider Name | LAURIE WHITE DN
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Gender | Female
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Dates
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Enumeration Date | 07/23/2017
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 3330 DUNDEE RD STE S5
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City | NORTHBROOK
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State | IL
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Zip | 60062-2327
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Country | US
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Telephone | 847-767-2694
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Fax |
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Provider Business Mailing Address
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Address Line | 2008 E MAPLE ST
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City | CRETE
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State | IL
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Zip | 60417-3514
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Country | US
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Telephone |
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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 | 172P00000X
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Taxonomy Name | Naprapath
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License Number | 181-000265
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License Number State | IL
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