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General NPI Number Information
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NPI Number | 1699956128
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Entity Type | Individual
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Provider Name | DEBRA J WHITE
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Gender | Female
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 11/27/2007
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Provider Practice Location Address
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Address Line | 50 GREAT NECK RD
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City | GREAT NECK
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State | NY
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Zip | 11021-3305
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Country | US
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Telephone | 516-466-3050
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Fax | 516-466-4809
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Provider Business Mailing Address
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Address Line | 2629 RAMONA ST
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City | EAST MEADOW
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State | NY
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Zip | 11554-5319
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Country | US
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Telephone | 516-781-8605
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Fax | 516-781-0424
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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 | 036139
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License Number State | NY
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