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General NPI Number Information
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NPI Number | 1033559174
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Entity Type | Individual
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Provider Name | JEFFREY O'NEAL WHITE FNP
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Gender | Male
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Dates
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Enumeration Date | 07/03/2013
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 501 BROADWAY ST
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City | DELHI
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State | LA
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Zip | 71232-3001
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Country | US
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Telephone | 318-878-6650
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Fax | 318-878-2880
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Provider Business Mailing Address
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Address Line | 8425 HIGHWAY 17
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City | WINNSBORO
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State | LA
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Zip | 71295-5424
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Country | US
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Telephone | 318-381-2397
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP.07482
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP07482
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License Number State | LA
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