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General NPI Number Information
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NPI Number | 1083528939
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Entity Type | Individual
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Provider Name | ERIC WHITE RN
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Gender | Male
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 746 JEFFERSON AVE
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City | SCRANTON
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State | PA
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Zip | 18510-1624
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Country | US
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Telephone | 570-770-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1607 NEWTON RANSOM BLVD
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City | CLARKS SUMMIT
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State | PA
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Zip | 18411-9606
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Country | US
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Telephone | 717-419-6385
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | RN801929
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License Number State | PA
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