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General NPI Number Information
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NPI Number | 1831540673
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Entity Type | Individual
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Provider Name | MICHAEL WHITE
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Gender | Male
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Dates
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Enumeration Date | 06/22/2016
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Last Update Date | 06/28/2024
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Provider Practice Location Address
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Address Line | 801 N 29TH ST
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City | BILLINGS
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State | MT
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Zip | 59101-0905
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Country | US
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Telephone | 510-459-8114
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Fax |
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Provider Business Mailing Address
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Address Line | 801 N 29TH ST
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City | BILLINGS
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State | MT
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Zip | 59101-0905
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | DR.0063097
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DR.0063097
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 185096
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MED-RES-LIC-50598
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License Number State | MT
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