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General NPI Number Information
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NPI Number | 1063003028
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Entity Type | Individual
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Provider Name | BRIANA NATE' WHITE M.A., LPC
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Gender | Female
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 02/01/2021
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Provider Practice Location Address
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Address Line | 1545 CROSSWAYS BLVD STE 250
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City | CHESAPEAKE
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State | VA
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Zip | 23320-0218
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Country | US
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Telephone | 757-912-5561
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Fax |
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Provider Business Mailing Address
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Address Line | 3848 ROBIN HOOD RD
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City | NORFOLK
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State | VA
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Zip | 23513-4262
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Country | US
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Telephone | 757-251-8873
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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 | 0701010248
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License Number State | VA
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