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General NPI Number Information
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NPI Number | 1316542442
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Entity Type | Individual
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Provider Name | CHARLOTTE WHITE CRNP
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Gender | Female
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Dates
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Enumeration Date | 12/04/2020
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 1601 4TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1723
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Country | US
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Telephone | 205-638-9107
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 SOUTHHALL RD
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City | BIRMINGHAM
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State | AL
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Zip | 35213-1116
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Country | US
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Telephone | 601-917-5945
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-174930
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 1-174930
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License Number State | AL
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