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General NPI Number Information
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NPI Number | 1487197158
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Entity Type | Individual
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Provider Name | ADAM WHITE PH.D.
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Gender | Male
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Dates
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Enumeration Date | 11/29/2016
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Last Update Date | 11/29/2016
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Provider Practice Location Address
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Address Line | 801 NORTHPOINT PKWY
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-1973
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Country | US
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Telephone | 561-301-7004
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Fax | 561-689-0491
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Provider Business Mailing Address
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Address Line | 5903 COCONUT RD
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City | WEST PALM BEACH
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State | FL
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Zip | 33413-1779
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Country | US
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Telephone | 561-301-7004
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Fax | 561-689-0491
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY4940
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License Number State | FL
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