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General NPI Number Information
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NPI Number | 1417005299
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Entity Type | Individual
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Provider Name | JOHN CRAIG WHITE DDS MSD
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Gender | Male
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9365 OLDE 8 RD
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City | NORTHFIELD
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State | OH
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Zip | 44067-2052
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Country | US
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Telephone | 330-468-0607
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Fax | 330-468-1329
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Provider Business Mailing Address
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Address Line | 9365 OLDE 8 RD
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City | NORTHFIELD
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State | OH
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Zip | 44067-2052
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Country | US
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Telephone | 330-468-0607
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Fax | 330-468-1329
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 30-018738
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License Number State | OH
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