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General NPI Number Information
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NPI Number | 1366584823
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Entity Type | Individual
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Provider Name | GALE MARIE WHITE MSW/MA
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Gender | Female
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/10/2016
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Provider Practice Location Address
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Address Line | 6410 S DORSEY LN
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City | TEMPE
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State | AZ
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Zip | 85283-3911
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Country | US
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Telephone | 269-930-1607
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Fax |
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Provider Business Mailing Address
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Address Line | 6410 S DORSEY LN
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City | TEMPE
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State | AZ
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Zip | 85283-3911
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Country | US
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Telephone | 269-930-1607
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801078413
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-15517
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License Number State | AZ
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