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General NPI Number Information
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NPI Number | 1508876244
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Entity Type | Individual
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Provider Name | DEBRA L WHITE D.C.
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 1602 E STARR AVE 201
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City | NACOGDOCHES
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State | TX
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Zip | 75961-4312
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Country | US
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Telephone | 936-559-1346
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Fax | 936-560-0854
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Provider Business Mailing Address
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Address Line | 1602 E STARR AVE
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City | NACOGDOCHES
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State | TX
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Zip | 75961-4312
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Country | US
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Telephone | 936-559-1346
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Fax | 936-560-0854
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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 | 5020
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License Number State | TX
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