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General NPI Number Information
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NPI Number | 1700257136
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Entity Type | Individual
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Provider Name | CHRISTINA WHITE DPT
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Gender | Female
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Dates
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Enumeration Date | 10/12/2015
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Last Update Date | 07/19/2024
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Provider Practice Location Address
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Address Line | 50777 MOUND RD
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City | SHELBY TWP
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State | MI
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Zip | 48317-1321
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Country | US
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Telephone | 586-413-7006
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Fax |
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Provider Business Mailing Address
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Address Line | 31092 LIONS POINTE DR
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City | CHESTERFIELD
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State | MI
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Zip | 48047-3547
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Country | US
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Telephone | 989-413-3150
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501017416
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License Number State | MI
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