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General NPI Number Information
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NPI Number | 1033703699
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Entity Type | Individual
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Provider Name | ERIN KENNEDY WHITE LPC-MHSP
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Gender | Female
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Dates
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Enumeration Date | 02/24/2021
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Last Update Date | 02/24/2021
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Provider Practice Location Address
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Address Line | 3421 DAYTON BLVD
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City | CHATTANOOGA
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State | TN
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Zip | 37415-4626
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Country | US
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Telephone | 423-682-8402
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Fax |
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Provider Business Mailing Address
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Address Line | 1043 DARTMOUTH ST
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City | CHATTANOOGA
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State | TN
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Zip | 37405-2902
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Country | US
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Telephone | 770-617-7017
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5295
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License Number State | TN
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