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General NPI Number Information
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NPI Number | 1871808287
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Entity Type | Individual
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Provider Name | SUZAN RIGGSBEE WHITE D.O.
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Gender | Female
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Dates
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Enumeration Date | 08/10/2010
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 928 FALLS RD STE 1
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City | SHELBURNE
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State | VT
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Zip | 05482-6213
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Country | US
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Telephone | 802-404-5140
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Fax | 802-448-5909
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Provider Business Mailing Address
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Address Line | 5 TAMARACK RD
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City | CHARLOTTE
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State | VT
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Zip | 05445-9629
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Country | US
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Telephone | 413-212-4143
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 261586
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0320112596
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License Number State | VT
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