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General NPI Number Information
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NPI Number | 1508275843
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Entity Type | Individual
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Provider Name | JOCELYN WHITE M.ED., LPC
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Gender | Female
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Dates
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Enumeration Date | 08/12/2014
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Last Update Date | 01/04/2021
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Provider Practice Location Address
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Address Line | 24 PAOLI PIKE
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City | PAOLI
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State | PA
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Zip | 19301-1858
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Country | US
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Telephone | 484-854-1636
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Fax |
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Provider Business Mailing Address
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Address Line | 426 OLD FORT RD
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-2318
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Country | US
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Telephone | 484-437-2207
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC007478
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License Number State | PA
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