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General NPI Number Information
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NPI Number | 1730488925
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Entity Type | Individual
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Provider Name | DEE ANN WHITE RPH
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Gender | Female
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Dates
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Enumeration Date | 03/28/2011
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Last Update Date | 03/28/2011
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Provider Practice Location Address
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Address Line | 406 WASHINGTON ST W
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City | CHARLESTON
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State | WV
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Zip | 25302-2131
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Country | US
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Telephone | 304-343-8807
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Fax |
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Provider Business Mailing Address
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Address Line | 1330 KANAWHA BLVD E APT, 210
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City | CHARLESTON
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State | WV
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Zip | 25301-3051
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Country | US
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Telephone | 304-993-4823
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP0003084
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License Number State | WV
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