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General NPI Number Information
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NPI Number | 1629876446
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Entity Type | Organization
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Legal Business Name | J&E WHITE ENTERPRISES LLC
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 4719 REEDY CREEK FARM CIR
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City | GREENSBORO
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State | NC
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Zip | 27405-8324
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Country | US
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Telephone | 704-798-5688
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Fax |
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Provider Business Mailing Address
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Address Line | 4719 REEDY CREEK FARM CIR
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City | GREENSBORO
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State | NC
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Zip | 27405-8324
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Country | US
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Telephone | 704-798-5688
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FATIMA TARHONDA WHITE
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Credential |
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Telephone | 704-798-5688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 102X00000X
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Taxonomy Name | Poetry Therapist
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 101200000X
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Taxonomy Name | Drama Therapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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