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General NPI Number Information
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NPI Number | 1730223231
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Entity Type | Individual
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Provider Name | LORETTA RENEE WHITE DDS
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 207 EAST 63 STREET
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City | KANSAS CITY
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State | MI
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Zip | 64113-2224
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Country | US
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Telephone | 816-523-2343
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Fax | 816-523-7210
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Provider Business Mailing Address
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Address Line | 3613 WEST 122 STREET
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City | LEAWOOD
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State | KS
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Zip | 66209-2109
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Country | US
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Telephone |
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State | MO
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