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General NPI Number Information
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NPI Number | 1093674723
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Entity Type | Individual
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Provider Name | JENNIFER KATHLEEN WHITE RDN
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Gender | Female
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 1908 N BEALE RD
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City | MARYSVILLE
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State | CA
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Zip | 95901-6937
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Country | US
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Telephone | 530-777-8280
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Fax | 530-777-8280
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Provider Business Mailing Address
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Address Line | 7800 WALSH LN
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City | SMARTSVILLE
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State | CA
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Zip | 95977-9726
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Country | US
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Telephone | 530-868-7838
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Fax | 530-868-7838
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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