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General NPI Number Information
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NPI Number | 1992009377
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Entity Type | Organization
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Legal Business Name | DR. RODERICK C. WHITE, LLC
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Dates
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Enumeration Date | 12/29/2010
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 2969 PELHAM PKWY
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City | PELHAM
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State | AL
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Zip | 35124-1795
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Country | US
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Telephone | 205-664-8881
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 345
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City | HELENA
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State | AL
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Zip | 35080-0345
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Country | US
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Telephone | 205-664-8881
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RODERICK WHITE
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Credential | D.C.
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Telephone | 205-663-5444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2317
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License Number State | AL
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