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General NPI Number Information
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NPI Number | 1497377014
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Entity Type | Individual
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Provider Name | EVE WHITE
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Gender | Female
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Dates
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Enumeration Date | 05/18/2020
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Last Update Date | 10/04/2022
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Provider Practice Location Address
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Address Line | 57 7TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11217-1462
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Country | US
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Telephone | 347-633-6293
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Fax |
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Provider Business Mailing Address
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Address Line | 163 MAPLE ST
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City | BROOKLYN
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State | NY
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Zip | 11225-5007
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Country | US
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Telephone | 347-633-6293
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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 | 117671
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License Number State | NY
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