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General NPI Number Information
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NPI Number | 1659325371
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Entity Type | Individual
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Provider Name | STEVEN K WHITE MD
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Gender | Male
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 04/02/2012
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Provider Practice Location Address
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Address Line | 1275 21ST AVE N
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City | MYRTLE BEACH
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State | SC
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Zip | 29577-7429
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Country | US
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Telephone | 843-448-9977
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Fax | 843-626-7755
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Provider Business Mailing Address
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Address Line | 1275 21ST AVE N
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City | MYRTLE BEACH
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State | SC
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Zip | 29577-7429
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Country | US
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Telephone | 843-448-9977
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Fax | 843-626-7755
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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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 10836
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License Number State | SC
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