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General NPI Number Information
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NPI Number | 1447667753
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Entity Type | Individual
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Provider Name | WILLIAM WHITE JR. PA-C
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Gender | Male
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Dates
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Enumeration Date | 07/18/2014
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 116 S RIVER RD UNIT D2
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City | BEDFORD
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State | NH
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Zip | 03110-6734
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Country | US
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Telephone | 603-450-0111
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Fax | 888-992-0918
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Provider Business Mailing Address
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Address Line | 116 S RIVER RD UNIT D2
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City | BEDFORD
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State | NH
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Zip | 03110-6734
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Country | US
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Telephone | 603-450-0111
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Fax | 888-992-0918
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110004753
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9116331
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | C5-0011777
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License Number State | DE
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Taxonomy #5
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 5863
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License Number State | CT
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Taxonomy #6
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA2357
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License Number State | ME
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Taxonomy #7
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MCS002474J
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License Number State | MA
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Taxonomy #8
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1387
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License Number State | NH
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