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General NPI Number Information
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NPI Number | 1912313735
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Entity Type | Individual
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Provider Name | GEORGE DAVID WHITE LCPC, MS
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Gender | Male
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Dates
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Enumeration Date | 07/02/2014
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 10450 SHAKER DR
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City | COLUMBIA
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State | MD
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Zip | 21046-1143
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Country | US
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Telephone | 410-457-3196
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Fax |
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Provider Business Mailing Address
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Address Line | 7363 KINDLER RD
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City | COLUMBIA
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State | MD
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Zip | 21046-2203
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Country | US
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Telephone | 443-803-0877
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LGP4220
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LC5866
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License Number State | MD
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