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General NPI Number Information
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NPI Number | 1962935742
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Entity Type | Individual
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Provider Name | CHRISTOPHER MARK WHITE DO
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Gender | Male
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Dates
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Enumeration Date | 04/07/2017
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 125 4TH AVE NE
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City | ST PETERSBURG
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State | FL
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Zip | 33701-3401
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Country | US
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Telephone | 727-585-8591
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Fax |
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Provider Business Mailing Address
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Address Line | 1130 COMMERCIAL WAY
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City | SPRING HILL
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State | FL
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Zip | 34606-4518
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Country | US
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Telephone | 727-585-8591
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | OS20881
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | OS20881
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License Number State | FL
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