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General NPI Number Information
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NPI Number | 1891684841
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Entity Type | Individual
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Provider Name | AMBER JALEASE WHITE
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Gender | Female
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 121 W MAIN AVE STE 302
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City | GASTONIA
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State | NC
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Zip | 28052-4154
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Country | US
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Telephone | 704-601-2646
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Fax | 704-240-3393
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Provider Business Mailing Address
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Address Line | 511 N LINCOLN ST STE 444
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City | HIGH SHOALS
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State | NC
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Zip | 28077-9700
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Country | US
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Telephone | 313-701-5181
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374K00000X
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Taxonomy Name | Religious Nonmedical Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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