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General NPI Number Information
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NPI Number | 1487423430
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Entity Type | Individual
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Provider Name | DANIELLE N WHITE LPC-T
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Gender | Female
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Dates
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Enumeration Date | 01/01/2024
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Last Update Date | 01/01/2024
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Provider Practice Location Address
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Address Line | 306 N ROCK RD STE 30
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City | WICHITA
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State | KS
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Zip | 67206-2256
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Country | US
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Telephone | 316-322-3651
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Fax |
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Provider Business Mailing Address
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Address Line | 416 CIRCLE DR
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City | WELLINGTON
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State | KS
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Zip | 67152-3202
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Country | US
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Telephone | 316-322-3651
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 04553-T
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License Number State | KS
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