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General NPI Number Information
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NPI Number | 1912961764
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Entity Type | Individual
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Provider Name | SEAN P WHITE MD
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Gender | Male
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 105 W STONE DR STE 5D
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City | KINGSPORT
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State | TN
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Zip | 37660-3365
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Country | US
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Telephone | 423-247-7500
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Fax | 423-390-4369
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Provider Business Mailing Address
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Address Line | PO BOX 9
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City | KINGSPORT
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State | TN
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Zip | 37662-0009
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Country | US
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Telephone | 423-857-2093
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Fax | 423-390-3340
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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 | 36075
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD36075
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License Number State | TN
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