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Individual
DIRK T WHITE
Active
Individual
DIRK T WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
NULL
174H00000X
Health Educator
—
NULL
183500000X
Pharmacist
Primary
PH811
AK
1835N1003X
Nutrition Support Pharmacist
PH811
AK
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
PH811
AK
208U00000X
Clinical Pharmacology Physician
PH811
AK
251E00000X
Home Health Agency
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
302F00000X
Exclusive Provider Organization
—
NULL
305S00000X
Point of Service
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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