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General NPI Number Information
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NPI Number | 1841911062
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Entity Type | Organization
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Legal Business Name | DELL B WHITE OD PA
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Dates
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Enumeration Date | 09/06/2022
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 3599 W HILLSBORO BLVD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-9404
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Country | US
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Telephone | 954-360-9813
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Fax |
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Provider Business Mailing Address
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Address Line | 21267 ESTERO VISTA CT
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City | ESTERO
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State | FL
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Zip | 33928-3503
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Country | US
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Telephone | 239-250-7210
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DELL BENJAMIN WHITE
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Credential | OD
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Telephone | 239-250-7210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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