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General NPI Number Information
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NPI Number | 1215663927
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Entity Type | Individual
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Provider Name | ANN MARIE WHITE FNP
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Gender | Female
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Dates
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Enumeration Date | 07/26/2022
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 250 W KINGS HWY
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City | EDEN
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State | NC
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Zip | 27288-5010
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Country | US
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Telephone | 336-864-2795
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Fax | 336-694-7511
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Provider Business Mailing Address
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Address Line | 439 US HIGHWAY 158 W
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City | YANCEYVILLE
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State | NC
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Zip | 27379-8304
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Country | US
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Telephone | 336-694-9331
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Fax | 336-694-7511
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001261845
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5016790
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License Number State | NC
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