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General NPI Number Information
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NPI Number | 1669036034
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Entity Type | Individual
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Provider Name | DEBORAH LYNN WHITE DNP, MHA, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/30/2019
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Last Update Date | 12/22/2022
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Provider Practice Location Address
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Address Line | 4855 E BROWN RD STE 100
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City | MESA
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State | AZ
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Zip | 85205-8007
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Country | US
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Telephone | 480-219-6466
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Fax | 480-219-6647
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Provider Business Mailing Address
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Address Line | 4855 E BROWN RD STE 100
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City | MESA
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State | AZ
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Zip | 85205-8007
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Country | US
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Telephone | 480-219-6466
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Fax | 480-219-6647
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | RN189186
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP228212
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License Number State | AZ
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