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General NPI Number Information
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NPI Number | 1619039195
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Entity Type | Organization
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Legal Business Name | DR. THELMA D. WHITE, INC.
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6649 N HIGH ST SUITE 106
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City | WORTHINGTON
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State | OH
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Zip | 43085-4070
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Country | US
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Telephone | 614-888-7211
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Fax | 614-888-3246
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Provider Business Mailing Address
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Address Line | 6649 N HIGH ST SUITE 106
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City | WORTHINGTON
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State | OH
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Zip | 43085-4070
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Country | US
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Telephone | 614-888-7211
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Fax | 614-888-3246
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. THELMA WHITE
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Credential | PH.D.
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Telephone | 614-888-7211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | OH1065
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License Number State | OH
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