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General NPI Number Information
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NPI Number | 1588676696
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Entity Type | Individual
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Provider Name | ALBERT TAYLOR WHITE JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 03/15/2018
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Provider Practice Location Address
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Address Line | 809 UNIVERSITY BLVD E
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City | TUSCALOOSA
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State | AL
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Zip | 35401-2029
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Country | US
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Telephone | 205-633-3541
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Fax | 205-633-3544
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Provider Business Mailing Address
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Address Line | 809 UNIVERSITY BLVD E
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City | TUSCALOOSA
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State | AL
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Zip | 35401-2029
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Country | US
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Telephone | 205-633-3541
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Fax | 205-633-3544
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 14985
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License Number State | AL
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