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General NPI Number Information
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NPI Number | 1568023737
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Entity Type | Individual
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Provider Name | NATHAN WILLIAM WHITE MD
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Gender | Male
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Dates
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Enumeration Date | 06/27/2019
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 3200 NORTHLINE AVE STE 200
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City | GREENSBORO
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State | NC
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Zip | 27408-7602
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Country | US
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Telephone | 336-545-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5105
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City | BELFAST
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State | ME
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Zip | 04915-5100
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Country | US
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Telephone | 919-220-5255
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MT219422
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A191935
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 2024-03220
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License Number State | NC
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