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General NPI Number Information
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NPI Number | 1356709356
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Entity Type | Organization
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Legal Business Name | WHITE TANKS COUNSELING PLLC
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Dates
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Enumeration Date | 02/04/2016
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 10451 W PALMERAS DR 211 E
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City | SUN CITY
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State | AZ
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Zip | 85373-2011
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Country | US
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Telephone | 623-330-3886
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Fax | 623-243-6549
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Provider Business Mailing Address
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Address Line | 10451 W PALMERAS DR 211 E
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City | SUN CITY
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State | AZ
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Zip | 85373-2011
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Country | US
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Telephone | 623-330-3886
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Fax | 623-243-6549
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Authorized Official
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Title or Position | OWNER
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Name | DR. JENNIFER ANN WALKER
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Credential | PH.D.
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Telephone | 623-330-3886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 13665
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License Number State | AZ
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