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General NPI Number Information
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NPI Number | 1083038343
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Entity Type | Individual
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Provider Name | LAURA AILEEN BERRY WHITE MSN, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/07/2014
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 104 ENDICOTT ST STE 104
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City | DANVERS
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State | MA
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Zip | 01923-3623
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Country | US
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Telephone | 978-882-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 79 COLUMBUS AVE
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City | SALEM
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State | MA
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Zip | 01970-5757
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Country | US
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Telephone | 603-475-9015
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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 | RN272361
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License Number State | MA
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