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General NPI Number Information
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NPI Number | 1649486416
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Entity Type | Organization
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Legal Business Name | STEVEN J. WHITE MD PA
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8230 WALNUT HILL LN SUITE 814
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City | DALLAS
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State | TX
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Zip | 75231-4482
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Country | US
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Telephone | 214-696-6676
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Fax |
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Provider Business Mailing Address
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Address Line | 5445 CARUTH HAVEN LN APT 2427
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City | DALLAS
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State | TX
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Zip | 75225-8171
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Country | US
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Telephone | 214-696-6676
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN JOHN WHITE
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Credential | MD
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Telephone | 214-696-6676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | H6703
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License Number State | TX
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