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General NPI Number Information
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NPI Number | 1205749272
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Entity Type | Individual
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Provider Name | DAWN WHITE APRN
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Gender | Female
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 6000 FREEDOM SQUARE DR FL 5
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2577
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Country | US
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Telephone | 866-686-2504
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Fax |
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Provider Business Mailing Address
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Address Line | 5747 GOODELL RD
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City | MANTUA
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State | OH
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Zip | 44255-9766
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Country | US
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Telephone | 216-310-4502
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN.CNP.0039801
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License Number State | OH
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