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General NPI Number Information
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NPI Number | 1982153565
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Entity Type | Individual
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Provider Name | JARVARA WHITE
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Gender | Female
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Dates
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Enumeration Date | 09/23/2016
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 17410 MACK AVE # 1045
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City | GROSSE POINTE
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State | MI
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Zip | 48230-6228
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Country | US
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Telephone | 313-443-5919
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Fax |
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Provider Business Mailing Address
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Address Line | 15564 LINCOLN AVE
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City | EASTPOINTE
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State | MI
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Zip | 48021-2918
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Country | US
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Telephone | 313-443-5919
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AS820380700
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 246QL0900X
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Taxonomy Name | Laboratory Management Specialist/Technologist
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License Number |
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 246RM2200X
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Taxonomy Name | Medical Laboratory Technician
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License Number |
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 247ZC0005X
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Taxonomy Name | Clinical Laboratory Director (Non-physician)
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License Number |
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License Number State | MI
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