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General NPI Number Information
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NPI Number | 1700449899
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Entity Type | Individual
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Provider Name | MATTHEW STODDARD WHITE MD
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Gender | Male
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Dates
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Enumeration Date | 04/15/2019
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 1313 21 ST AVENUE S. 703 OXFORD HOUSE
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City | NASHVILLE
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State | TN
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Zip | 37232-4700
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Country | US
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Telephone | 615-936-1160
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Fax |
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Provider Business Mailing Address
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Address Line | 1313 21 ST AVENUE S. 703 OXFORD HOUSE
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City | NASHVILLE
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State | TN
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Zip | 37232-4700
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Country | US
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Telephone | 615-936-1160
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME165849
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD-52521
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 56985
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 3865-320
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 62279
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 326620
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License Number State | NY
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