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General NPI Number Information
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NPI Number | 1912839176
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Entity Type | Individual
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Provider Name | TIFFANY AMANDA WHITE DNP, RN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 515 MIDLAND RD STE A
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-3300
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Country | US
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Telephone | 910-639-5591
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Fax |
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Provider Business Mailing Address
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Address Line | 295 BIBEY RD
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City | CARTHAGE
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State | NC
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Zip | 28327-7227
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Country | US
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Telephone | 910-639-3673
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 278547
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License Number State | NC
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