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General NPI Number Information
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NPI Number | 1770679946
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Entity Type | Individual
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Provider Name | JAMES GREGORY WHITE M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 473 SOUTH ST
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City | REDDING
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State | CA
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Zip | 96001-2105
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Country | US
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Telephone | 530-242-1415
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Fax |
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Provider Business Mailing Address
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Address Line | 2205 HILLTOP DR # 1
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City | REDDING
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State | CA
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Zip | 96002-0511
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Country | US
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Telephone | 530-242-1415
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | A30743
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License Number State | CA
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