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General NPI Number Information
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NPI Number | 1578704557
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Entity Type | Individual
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Provider Name | MR. MICHAEL JOSEPH WHITE
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Gender | Male
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Dates
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Enumeration Date | 03/20/2009
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Last Update Date | 06/28/2013
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Provider Practice Location Address
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Address Line | 211 HIGHLAND CROSS DR SUITE 275
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City | HOUSTON
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State | TX
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Zip | 77073-1733
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Country | US
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Telephone | 281-784-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 1840 LAKE LANDING DR
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City | LEAGUE CITY
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State | TX
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Zip | 77573-7781
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Country | US
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Telephone | 225-978-7900
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | P2810
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 204043
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License Number State | LA
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