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General NPI Number Information
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NPI Number | 1588540413
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Entity Type | Organization
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Legal Business Name | ALLISON WHITE THERAPY LLC
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 216 PASEO DEL PUEBLO NORTE STE A
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City | TAOS
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State | NM
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Zip | 87571-5912
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Country | US
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Telephone | 415-819-6405
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Fax |
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Provider Business Mailing Address
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Address Line | 710D PASEO DEL PUEBLO SUR UNIT 385
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City | TAOS
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State | NM
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Zip | 87571-5996
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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 | OWNER
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Name | ALLISON WHITE
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Credential | LMFT
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Telephone | 415-819-6405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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