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General NPI Number Information
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NPI Number | 1265263529
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Entity Type | Individual
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Provider Name | CARLIE WHITE PHARMD, MBA
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Gender | Female
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Dates
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Enumeration Date | 08/09/2024
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Last Update Date | 08/16/2025
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Provider Practice Location Address
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Address Line | 1230 HIGH ST
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City | BRANDENBURG
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State | KY
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Zip | 40108-1517
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Country | US
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Telephone | 270-422-2422
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Fax | 270-422-3299
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Provider Business Mailing Address
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Address Line | 1930 MILAN RD
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City | PAYNEVILLE
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State | KY
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Zip | 40157-7531
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Country | US
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Telephone | 270-750-1022
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 025316
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License Number State | KY
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