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General NPI Number Information
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NPI Number | 1427064187
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Entity Type | Organization
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Legal Business Name | ROBERT A. WHITE, M.D., INC.
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 10/04/2007
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Provider Practice Location Address
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Address Line | 3434 VILLA LN STE 260
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City | NAPA
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State | CA
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Zip | 94558-6415
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Country | US
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Telephone | 707-224-7757
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Fax | 707-224-5870
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Provider Business Mailing Address
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Address Line | 3434 VILLA LN STE 260
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City | NAPA
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State | CA
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Zip | 94558-6415
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Country | US
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Telephone | 707-224-7757
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Fax | 707-224-5870
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CELIA TOSCANO MATULICH
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Credential |
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Telephone | 707-224-7757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A41035
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License Number State | CA
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