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General NPI Number Information
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NPI Number | 1578847034
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Entity Type | Individual
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Provider Name | ALICIA LUTGARDA WHITE NP
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Gender | Female
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Dates
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Enumeration Date | 10/03/2011
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 503 N 21ST ST
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City | CAMP HILL
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State | PA
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Zip | 17011-2204
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Country | US
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Telephone | 717-531-5638
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Fax | 717-531-0983
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Provider Business Mailing Address
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Address Line | 500 UNIVERSITY DR MC CA410
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City | HERSHEY
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State | PA
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Zip | 17033-2360
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Country | US
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Telephone | 717-531-5208
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Fax | 717-531-0119
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024177120
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 0024177120
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 114325
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP031774
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License Number State | PA
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