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General NPI Number Information
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NPI Number | 1952186231
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Entity Type | Individual
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Provider Name | KAITLIN WHITE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/25/2023
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 502 MADISON OAK DR STE 245
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4086
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Country | US
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Telephone | 210-404-2532
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Fax |
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Provider Business Mailing Address
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Address Line | 18902 BROOKWOOD FRST
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4457
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Country | US
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Telephone | 919-699-7733
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1016745
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License Number State | TX
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