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General NPI Number Information
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NPI Number | 1497118939
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Entity Type | Individual
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Provider Name | KELSEY JO SIMPSON WHITE MD
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Gender | Female
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Dates
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Enumeration Date | 04/01/2016
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | DR HITZELBERGER STASSE
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City | LANDSTUHL
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State | RHEINLAND PFALZ
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Zip | 66849
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Country | DE
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Telephone | 314-590-4048
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Fax |
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Provider Business Mailing Address
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Address Line | 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889-0004
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Country | US
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Telephone |
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 65033
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | 0101263475
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License Number State | VA
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