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General NPI Number Information
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NPI Number | 1699977108
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Entity Type | Individual
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Provider Name | NATALIE WHITE SLP
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Gender | Female
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 05/09/2022
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Provider Practice Location Address
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Address Line | 557 E FRONT ST
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City | OWEGO
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State | NY
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Zip | 13827-1232
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Country | US
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Telephone | 206-409-3468
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Fax |
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Provider Business Mailing Address
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Address Line | 557 E FRONT ST
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City | OWEGO
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State | NY
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Zip | 13827-1232
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Country | US
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Telephone | 206-409-3468
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | LL00003817
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 030691
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License Number State | NY
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