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General NPI Number Information
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NPI Number | 1578361184
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Entity Type | Individual
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Provider Name | BRETT P WHITE
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Gender | Male
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 23401 PRAIRIE STAR PKWY
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City | LENEXA
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State | KS
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Zip | 66227-7268
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Country | US
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Telephone | 913-677-6319
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Fax |
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Provider Business Mailing Address
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Address Line | 14019 BOND ST
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City | OVERLAND PARK
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State | KS
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Zip | 66221-2830
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Country | US
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Telephone |
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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