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General NPI Number Information
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NPI Number | 1477618312
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Entity Type | Individual
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Provider Name | MICHAEL CORWIN WHITE D.C.
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Gender | Male
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 06/03/2019
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Provider Practice Location Address
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Address Line | 14645 NW 77TH AVE STE 107
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2569
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Country | US
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Telephone | 305-570-1965
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Fax | 305-570-1968
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Provider Business Mailing Address
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Address Line | 6910 MAIN ST APT 150
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City | MIAMI LAKES
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State | FL
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Zip | 33014-7013
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Country | US
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Telephone | 561-352-7893
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH 9043
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License Number State | FL
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