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General NPI Number Information
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NPI Number | 1396866547
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Entity Type | Individual
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Provider Name | THOMAS CARL WHITE MD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 01/22/2013
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Provider Practice Location Address
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Address Line | 100 HOSPITAL WAY CROW/NORTHERN CHEYENNE IHS HOSPITAL
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City | CROW AGENCY
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State | MT
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Zip | 59022
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Country | US
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Telephone | 406-638-3442
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Fax |
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Provider Business Mailing Address
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Address Line | 307 8TH ST W
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City | HARDIN
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State | MT
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Zip | 59034-1410
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Country | US
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Telephone | 406-638-3442
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 10178
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License Number State | ND
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