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General NPI Number Information
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NPI Number | 1588936959
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Entity Type | Organization
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Legal Business Name | ROBERT E. WHITE, MD, FACOG
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Dates
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Enumeration Date | 02/01/2012
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Last Update Date | 02/01/2012
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Provider Practice Location Address
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Address Line | 3801 GASTON AVE SUITE 308
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City | DALLAS
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State | TX
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Zip | 75246-1541
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Country | US
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Telephone | 214-824-3730
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Fax | 214-821-5473
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Provider Business Mailing Address
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Address Line | 3801 GASTON AVE SUITE 308
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City | DALLAS
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State | TX
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Zip | 75246-1541
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Country | US
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Telephone | 214-824-3730
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Fax | 214-821-5473
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT ELLISON WHITE SR.
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Credential | MD
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Telephone | 214-824-3730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D7501
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License Number State | TX
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