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General NPI Number Information
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NPI Number | 1326129461
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Entity Type | Individual
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Provider Name | JARED JAMES WHITE D.O., PA-C
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 1700 WHEELING ST
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City | AURORA
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State | CO
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Zip | 80045-7211
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Country | US
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Telephone | 720-857-5580
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 WHEELING ST
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City | AURORA
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State | CO
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Zip | 80045-7211
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Country | US
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Telephone | 720-857-5580
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 5101018188
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 34.011200
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | CDRH.0055441
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 008895-1
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | DR.0055441
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License Number State | CO
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