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General NPI Number Information
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NPI Number | 1801936315
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Entity Type | Individual
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Provider Name | CAROLINE WHITE M.S.
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 215 COACHMAN PL E
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City | SYOSSET
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State | NY
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Zip | 11791-3050
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Country | US
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Telephone | 516-496-4460
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Fax |
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Provider Business Mailing Address
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Address Line | 45 SAINT ANDREWS DR
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City | HUNTINGTON
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State | NY
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Zip | 11743-2419
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Country | US
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Telephone | 631-271-7250
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | NY
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