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General NPI Number Information
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NPI Number | 1184204919
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Entity Type | Organization
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Legal Business Name | KIMBERLY H WHITE ENTERPRISES LLC
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Dates
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Enumeration Date | 04/14/2021
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Last Update Date | 04/14/2021
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Provider Practice Location Address
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Address Line | 1516 HUNTERS RIDGE CIR
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City | DENTON
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State | TX
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Zip | 76205-2913
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Country | US
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Telephone | 940-380-1457
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Fax | 866-681-6532
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Provider Business Mailing Address
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Address Line | 1516 HUNTERS RIDGE CIR
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City | DENTON
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State | TX
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Zip | 76205-2913
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Country | US
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Telephone | 940-380-1457
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. LESLIE WHISENHUNT
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Credential |
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Telephone | 940-372-9372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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