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General NPI Number Information
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NPI Number | 1629235742
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Entity Type | Individual
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Provider Name | ADAM D WHITE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 05/16/2008
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Provider Practice Location Address
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Address Line | 431 W LINCOLN AVE
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City | IONIA
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State | MI
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Zip | 48846-1103
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Country | US
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Telephone | 616-527-4300
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Fax | 616-527-0019
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Provider Business Mailing Address
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Address Line | 5260 KELLOGG WOODS DR SE APT 102
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City | KENTWOOD
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State | MI
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Zip | 49548-0808
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Country | US
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Telephone | 989-277-6358
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302035531
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License Number State | MI
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