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General NPI Number Information
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NPI Number | 1619970548
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Entity Type | Individual
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Provider Name | PATRICK W. WHITE MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 07/15/2019
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Provider Practice Location Address
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Address Line | 5700 MONROE ST UNIT 101
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City | SYLVANIA
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State | OH
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Zip | 43560-2779
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Country | US
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Telephone | 419-291-6777
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Fax | 419-480-6607
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Provider Business Mailing Address
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Address Line | 1 SEAGATE # 800
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City | TOLEDO
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State | OH
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Zip | 43604-1558
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Country | US
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Telephone | 675-851-9645
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Fax | 419-824-7359
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35045329W
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License Number State | OH
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