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General NPI Number Information
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NPI Number | 1932140506
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Entity Type | Individual
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Provider Name | JEFFREY ALAN WHITE PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 10/06/2021
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Provider Practice Location Address
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Address Line | 11211 E ARAPAHOE RD STE 118
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City | CENTENNIAL
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State | CO
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Zip | 80112-3851
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Country | US
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Telephone | 720-791-2881
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Fax |
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Provider Business Mailing Address
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Address Line | 24743 E QUARTO PL
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City | AURORA
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State | CO
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Zip | 80016-7168
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Country | US
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Telephone | 303-884-1946
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Fax | 720-862-0075
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5201
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License Number State | CO
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