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General NPI Number Information
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NPI Number | 1154796860
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Entity Type | Individual
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Provider Name | WENDESIA WHITE PH.D
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Gender | Female
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Dates
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Enumeration Date | 12/07/2015
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | UNITED STATES ARMY HEALTH CLINIC GRAFENWOEHR UNIT 28130, PSC 415
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City | APO
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State | AA
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Zip | 09114-0034
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Country | US
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Telephone | 314-590-3102
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Fax |
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Provider Business Mailing Address
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Address Line | WALTER REED NATIONAL MILITARY MEDICAL CENTER
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City | APO
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State | AA
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Zip | 20889
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Country | US
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Telephone |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4634
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License Number State | AZ
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