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General NPI Number Information
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NPI Number | 1841440286
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Entity Type | Individual
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Provider Name | ROBERT WILLIAM WHITE CO
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Gender | Male
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 80 TURNPIKE DR UNIT 1
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City | MIDDLEBURY
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State | CT
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Zip | 06762-1830
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Country | US
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Telephone | 203-758-8307
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Fax |
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Provider Business Mailing Address
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Address Line | 80 TURNPIKE DR UNIT 1
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City | MIDDLEBURY
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State | CT
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Zip | 06762-1830
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Country | US
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Telephone | 203-758-8307
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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 | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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