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General NPI Number Information
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NPI Number | 1952998312
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Entity Type | Individual
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Provider Name | TAYLOR M WHITE RDH
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Gender | Female
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Dates
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Enumeration Date | 12/30/2020
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Last Update Date | 12/30/2020
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Provider Practice Location Address
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Address Line | 6299 NALL AVE STE 300
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City | MISSION
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State | KS
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Zip | 66202-3551
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Country | US
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Telephone | 913-334-0044
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Fax |
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Provider Business Mailing Address
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Address Line | 14 W 81ST ST
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City | KANSAS CITY
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State | MO
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Zip | 64114-2325
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Country | US
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Telephone | 816-519-4013
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 2015018809
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 12030
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License Number State | KS
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