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General NPI Number Information
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NPI Number | 1609878248
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Entity Type | Individual
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Provider Name | MICHAEL JAY WHITE M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 610 25 RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81505
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Country | US
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Telephone | 970-628-6954
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Fax | 970-233-7769
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Provider Business Mailing Address
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Address Line | P.O. BOX 23228
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City | GLADE PARK
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State | CO
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Zip | 81523
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Country | US
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Telephone | 970-628-6954
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Fax | 970-233-7769
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 01097335A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 8495885-1205
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | DR.0052262
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License Number State | CO
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