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General NPI Number Information
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NPI Number | 1548336282
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Entity Type | Organization
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Legal Business Name | LARRY W WHITE ORTHODONTICS LTD
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 701 N HAMPTON RD
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City | DESOTO
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State | TX
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Zip | 75115-4509
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Country | US
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Telephone | 972-230-0155
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Fax | 972-230-0742
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Provider Business Mailing Address
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Address Line | 701 N HAMPTON RD
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City | DE SOTO
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State | TX
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Zip | 75115
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Country | US
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Telephone | 972-230-0155
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Fax | 972-230-0742
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Authorized Official
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Title or Position | DR
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Name | DR. LARRY W WHITE
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Credential |
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Telephone | 972-230-0155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6768TEXAS
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License Number State |
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