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General NPI Number Information
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NPI Number | 1245029735
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Entity Type | Individual
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Provider Name | JEFFREY S WHITE
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Gender | Male
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 1057 JONES ST
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City | RAVENNA
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State | OH
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Zip | 44266-1413
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Country | US
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Telephone | 330-714-5808
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Fax |
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Provider Business Mailing Address
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Address Line | 3748 BILTZ RD
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City | KENT
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State | OH
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Zip | 44240-6708
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Country | US
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Telephone | 330-606-3390
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Fax | 330-606-3390
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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