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General NPI Number Information
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NPI Number | 1962590604
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Entity Type | Individual
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Provider Name | FRANK HAVELOOK WHITE III DDS
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Gender | Male
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 06/03/2021
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Provider Practice Location Address
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Address Line | 2020 TOWN CENTER BLVD
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City | KNOXVILLE
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State | TN
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Zip | 37922-6677
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Country | US
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Telephone | 865-233-6517
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Fax |
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Provider Business Mailing Address
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Address Line | 3520 NAVIGATOR PT
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City | KNOXVILLE
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State | TN
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Zip | 37922-6562
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Country | US
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Telephone | 229-854-7706
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 10612
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 010377
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License Number State | GA
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