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NPI 1033104914

NPI 1033104914 : EMMA W WHITE PT : THOMASVILLE, NC

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General NPI Number Information
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    NPI Number           |    1033104914
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    Entity Type          |    Individual 
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    Provider Name        |    EMMA W WHITE PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/15/2005
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    Last Update Date     |    08/15/2016
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Provider Practice Location Address
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    Address Line         |    319A JULIAN AVE HEALTHCARE CONSULTANTS INC
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    City                 |    THOMASVILLE
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    State                |    NC
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    Zip                  |    27360-4832
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    Country              |    US
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    Telephone            |    336-472-6566
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    Fax                  |    336-472-5281
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Provider Business Mailing Address
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    Address Line         |    1262 DOVERSHIRE CT 
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    City                 |    HIGH POINT
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    State                |    NC
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    Zip                  |    27262-7306
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    Country              |    US
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    Telephone            |    336-882-6035
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    3573
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    License Number State |    NC
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