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General NPI Number Information
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NPI Number | 1598573610
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Entity Type | Individual
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Provider Name | HALEIGH WHITE AUD
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Gender | Female
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 2964 W 4700 S STE 116
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City | TAYLORSVILLE
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State | UT
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Zip | 84129-2559
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Country | US
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Telephone | 801-417-9696
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Fax |
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Provider Business Mailing Address
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Address Line | 12190 S COVE CREST CIR
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City | RIVERTON
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State | UT
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Zip | 84065-7463
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Country | US
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Telephone | 801-602-5095
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 9435861-4101
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License Number State | UT
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