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General NPI Number Information
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NPI Number | 1497979777
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Entity Type | Individual
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Provider Name | VALERIE ANN WHITE DDS
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5729 W 85TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46278-1330
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Country | US
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Telephone | 317-337-0414
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Fax |
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Provider Business Mailing Address
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Address Line | 6531 COTTON CREEK CT
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City | INDIANAPOLIS
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State | IN
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Zip | 46278-2217
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Country | US
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Telephone | 317-824-9560
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12009507A
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License Number State | IN
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