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General NPI Number Information
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NPI Number | 1841511102
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Entity Type | Individual
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Provider Name | ANNICE DAVIS WHITE MS
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Gender | Female
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Dates
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Enumeration Date | 06/21/2010
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 8615 ROSEHILL RD STE ROSEHILL
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City | LENEXA
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State | KS
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Zip | 66215-2898
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Country | US
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Telephone | 913-901-8666
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Fax | 913-901-8677
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Provider Business Mailing Address
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Address Line | 8826 SANTA FE DR STE 308
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City | OVERLAND PARK
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State | KS
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Zip | 66212-3672
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Country | US
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Telephone | 913-901-8666
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Fax | 913-901-8677
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | A046261
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | KS
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