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General NPI Number Information
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NPI Number | 1649383167
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Entity Type | Individual
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Provider Name | FRANK G WHITE LCMFT
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Gender | Male
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 931 HIGHWAY 80 W
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City | JACKSON
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State | MS
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Zip | 39204-3912
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Country | US
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Telephone | 601-832-1875
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Fax |
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Provider Business Mailing Address
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Address Line | 100 RANDOM OAK CV
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City | RAYMOND
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State | MS
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Zip | 39154-9680
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Country | US
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Telephone | 601-853-1875
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | T0385
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License Number State | MS
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