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General NPI Number Information
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NPI Number | 1629411483
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Entity Type | Organization
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Legal Business Name | TAMRA WHITE COUNSELING
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Dates
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Enumeration Date | 04/11/2013
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Last Update Date | 04/11/2013
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Provider Practice Location Address
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Address Line | 5017 HERITAGE AVE
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City | COLLEYVILLE
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State | TX
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Zip | 76034-5994
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Country | US
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Telephone | 940-224-0105
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Fax |
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Provider Business Mailing Address
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Address Line | 605 ASHCROFT DR
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City | GRAPEVINE
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State | TX
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Zip | 76051-4467
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Country | US
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Telephone | 940-224-0105
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | TAMRA WHITE
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Credential |
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Telephone | 940-224-0105
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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 | 16685
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License Number State | TX
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