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General NPI Number Information
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NPI Number | 1437602919
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Entity Type | Organization
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Legal Business Name | THE WHITE MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 08/01/2016
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 7050 N RECREATION AVE
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City | FRESNO
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State | CA
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Zip | 93720-8001
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Country | US
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Telephone | 559-777-2956
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Fax | 559-831-3220
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Provider Business Mailing Address
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Address Line | PO BOX 1368
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City | CLOVIS
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State | CA
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Zip | 93613-1368
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Country | US
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Telephone | 559-777-2956
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Fax | 559-831-3220
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | PAUL A WHITE
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Credential | M.D.
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Telephone | 559-777-2956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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