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General NPI Number Information
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NPI Number | 1336057694
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Entity Type | Individual
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Provider Name | CALEB M WHITE DPT, PT
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Gender | Male
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 1805 VERNON RD STE A
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City | LAGRANGE
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State | GA
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Zip | 30240-3871
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Country | US
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Telephone | 706-845-9383
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Fax | 706-845-9382
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Provider Business Mailing Address
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Address Line | 203 NARROWS PKWY STE D
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City | BIRMINGHAM
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State | AL
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Zip | 35242-8649
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Country | US
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Telephone | 706-845-9383
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Fax | 706-845-9382
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT018604
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License Number State | GA
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