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General NPI Number Information
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NPI Number | 1801666912
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Entity Type | Individual
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Provider Name | CHARLOTTE ELIZABETH WHITE
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Gender | Female
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Dates
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Enumeration Date | 01/09/2024
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 400 N CENTER DR STE 100
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City | NORFOLK
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State | VA
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Zip | 23502-0002
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Country | US
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Telephone | 757-908-3754
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Fax |
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Provider Business Mailing Address
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Address Line | 1013 WOODSMANS REACH
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City | CHESAPEAKE
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State | VA
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Zip | 23320-8502
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Country | US
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Telephone | 859-327-5959
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110010231
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License Number State | VA
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