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General NPI Number Information
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NPI Number | 1497051072
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Entity Type | Individual
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Provider Name | RENE MARIE WHITE FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/31/2011
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 512 S BROADWAY
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City | SALEM
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State | NH
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Zip | 03079-4306
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Country | US
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Telephone | 978-427-7651
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Fax |
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Provider Business Mailing Address
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Address Line | 148 VIRGINIA AVE
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City | LOWELL
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State | MA
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Zip | 01852-1638
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Country | US
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Telephone | 910-728-9332
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 067538-23
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 198768
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN278406
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License Number State | MA
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