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NPI 1609175884

NPI 1609175884 : CHERIE A. WHITE INC. : UNIVERSITY HEIGHTS, OH

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General NPI Number Information
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    NPI Number           |    1609175884
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHERIE A. WHITE INC. 
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Dates
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    Enumeration Date     |    03/27/2011
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    Last Update Date     |    09/26/2012
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Provider Practice Location Address
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    Address Line         |    2260 WARRENSVILLE CENTER RD 203
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    City                 |    UNIVERSITY HEIGHTS
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    State                |    OH
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    Zip                  |    44118-3146
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    Country              |    US
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    Telephone            |    216-337-1762
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    Fax                  |    216-932-5663
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Provider Business Mailing Address
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    Address Line         |    2260 WARRENSVILLE CENTER RD 203
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    City                 |    UNIVERSITY HEIGHTS
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    State                |    OH
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    Zip                  |    44118-3146
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    Country              |    US
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    Telephone            |    216-337-1762
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    Fax                  |    216-932-5663
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. CHERIE ANN WHITE 
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    Credential           |    PCC
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    Telephone            |    216-337-1762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    E.0008041
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    E.0008041
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    License Number State |    OH
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Taxonomy #3
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    E.0008041
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    License Number State |    OH
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