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General NPI Number Information
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NPI Number | 1194616151
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Entity Type | Individual
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Provider Name | ANNE KITTREDGE WHITE LCSWA
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Gender | Female
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 9205 BAILEYWICK RD FL 2
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City | RALEIGH
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State | NC
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Zip | 27615-1977
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Country | US
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Telephone | 919-845-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 1309 HUDSON AVE APT D9
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City | DURHAM
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State | NC
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Zip | 27705-3373
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Country | US
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Telephone | 339-793-3417
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P022368
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License Number State | NC
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