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General NPI Number Information
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NPI Number | 1306849344
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Entity Type | Individual
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Provider Name | SHELBY T WHITE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 05/17/2010
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Provider Practice Location Address
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Address Line | 333 S 3RD ST STE B
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City | DANVILLE
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State | KY
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Zip | 40422-2016
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Country | US
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Telephone | 859-236-8730
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Fax | 859-236-4468
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Provider Business Mailing Address
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Address Line | 333 S 3RD ST STE B
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City | DANVILLE
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State | KY
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Zip | 40422-2016
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Country | US
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Telephone | 859-236-8730
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Fax | 859-236-4468
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 21632
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License Number State | KY
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