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General NPI Number Information
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NPI Number | 1821282492
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Entity Type | Individual
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Provider Name | BARBARA ANN WHITE M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 1144 S SILVERSTONE WAY STE 160
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City | MERIDIAN
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State | ID
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Zip | 83642-8936
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Country | US
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Telephone | 208-214-4466
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Fax | 208-464-9731
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Provider Business Mailing Address
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Address Line | PO BOX 4886
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City | BOISE
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State | ID
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Zip | 83711-4886
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Country | US
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Telephone | 208-214-4466
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Fax | 208-464-9731
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 4301086276
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A117232
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | M-13092
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License Number State | ID
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