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General NPI Number Information
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NPI Number | 1801973391
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Entity Type | Individual
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Provider Name | JUDITH C. WHITE PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 10/11/2012
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Provider Practice Location Address
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Address Line | 4-885 KUHIO HWY # A-1
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City | KAPAA
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State | HI
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Zip | 96746-2702
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Country | US
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Telephone | 808-346-5859
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Fax | 808-822-5454
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Provider Business Mailing Address
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Address Line | PO BOX 1719
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City | KAPAA
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State | HI
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Zip | 96746-5719
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Country | US
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Telephone | 808-346-5859
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 665
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License Number State | HI
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