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General NPI Number Information
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NPI Number | 1104927847
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Entity Type | Individual
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Provider Name | DARWIN R. WHITE M.A., L.C.S.W.
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Gender | Male
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 10/14/2009
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Provider Practice Location Address
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Address Line | 11477 OLDE CABIN RD SUITE 200
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City | SAINT LOUIS
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State | MO
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Zip | 63141-7130
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Country | US
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Telephone | 314-567-5000
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Fax | 314-567-3110
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Provider Business Mailing Address
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Address Line | 11477 OLDE CABIN RD SUITE 200
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City | SAINT LOUIS
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State | MO
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Zip | 63141-7130
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Country | US
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Telephone | 314-567-5000
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Fax | 314-567-3110
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW002373
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License Number State | MO
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