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General NPI Number Information
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NPI Number | 1851164248
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Entity Type | Individual
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Provider Name | MICHELLE WHITE
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Gender | Female
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Dates
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Enumeration Date | 11/06/2023
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 1800 WEST ST FL 4
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City | HOMESTEAD
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State | PA
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Zip | 15120-2563
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Country | US
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Telephone | 412-351-0222
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Fax |
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Provider Business Mailing Address
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Address Line | 3 SAINT JOHNS PL APT 3
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City | PITTSBURGH
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State | PA
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Zip | 15201-1387
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Country | US
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Telephone | 724-954-2493
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW139525
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License Number State | PA
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