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General NPI Number Information
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NPI Number | 1760480040
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Entity Type | Individual
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Provider Name | CHERYL LYNNE WHITE FNP
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Gender | Female
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 01/04/2008
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Provider Practice Location Address
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Address Line | 3477 DAWNRIDGE DR
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City | MEMPHIS
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State | TN
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Zip | 38118-8136
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Country | US
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Telephone | 901-281-9036
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Fax | 901-367-9038
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Provider Business Mailing Address
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Address Line | 3477 DAWNRIDGE DR
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City | MEMPHIS
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State | TN
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Zip | 38118-8136
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Country | US
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Telephone | 901-376-9038
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Fax | 901-367-9038
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 810080
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License Number State | TN
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