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Individual
ANDREA WHITE
Active
Individual
ANDREA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-34050
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1234203
—
IA
05
—
1679550651
—
IA
05
—
2234203
—
IA
Enumeration date
12/29/2005
Last updated
02/11/2015
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