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General NPI Number Information
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NPI Number | 1558310060
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Entity Type | Individual
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Provider Name | GWEN MORGAN WHITE LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1600 LEHIGH PARKWAY EAST SUITE 1F
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City | ALLENTOWN
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State | PA
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Zip | 18103
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Country | US
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Telephone | 610-432-6897
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Fax | 610-821-1243
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Provider Business Mailing Address
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Address Line | 1600 LEHIGH PARKWAY EAST SUITE 1F
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City | ALLENTOWN
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State | PA
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Zip | 18103
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Country | US
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Telephone | 610-432-6897
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Fax | 610-821-1243
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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 | CW001405L
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License Number State | PA
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