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General NPI Number Information
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NPI Number | 1588849434
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Entity Type | Individual
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Provider Name | ANGELICA WHITE MD
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Gender | Female
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 12/14/2012
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Provider Practice Location Address
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Address Line | 7400 MERTON MINTER ST
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4404
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Country | US
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Telephone | 210-617-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 7701 WURZBACH RD APT 1905
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4433
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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 | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | N9328
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | N9328
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | 01069307A
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License Number State | IN
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