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General NPI Number Information
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NPI Number | 1679819759
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Entity Type | Individual
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Provider Name | KATHERINE D WHITE LPC
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Gender | Female
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Dates
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Enumeration Date | 12/18/2012
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Last Update Date | 12/18/2012
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Provider Practice Location Address
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Address Line | 203 E CALHOUN ST
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City | LIVINGSTON
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State | TX
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Zip | 77351-2965
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Country | US
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Telephone | 936-329-3475
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Fax |
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Provider Business Mailing Address
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Address Line | 171 PINE SHADOWS DR
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City | SHEPHERD
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State | TX
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Zip | 77371-2513
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Country | US
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Telephone | 936-329-3475
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 18690
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License Number State | TX
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