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NPI 1346665304

NPI 1346665304 : CAMELE WHITE MD P.C. : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1346665304
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    Entity Type          |    Organization 
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    Legal Business Name  |    CAMELE WHITE MD P.C. 
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Dates
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    Enumeration Date     |    02/27/2014
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    Last Update Date     |    02/27/2014
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Provider Practice Location Address
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    Address Line         |    385 REMSEN AVE 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11212-1245
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    Country              |    US
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    Telephone            |    347-915-1755
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    Fax                  |    347-915-1756
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Provider Business Mailing Address
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    Address Line         |    385 REMSEN AVE 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11212-1245
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    Country              |    US
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    Telephone            |    347-915-1755
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    Fax                  |    347-915-1756
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. CAMELE  WHITE 
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    Credential           |    M.D.
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    Telephone            |    347-915-1755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    256758-1
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    License Number State |    NY
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