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General NPI Number Information
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NPI Number | 1326663071
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Entity Type | Individual
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Provider Name | RYAN EARLE WHITE OD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2020
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 9811 N 95TH ST STE 101
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4527
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Country | US
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Telephone | 480-947-4493
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Fax | 480-947-4571
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Provider Business Mailing Address
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Address Line | 100 HUYSHOPE AVENUE #311
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City | HARTFORD
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State | CT
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Zip | 06106
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Country | US
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Telephone | 607-972-1840
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3149
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT-002870
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License Number State | AZ
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