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NPI 1992576383

NPI 1992576383 : ALEXIS DONTAVIA WHITE CNM : HOLLY SPRINGS, NC

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General NPI Number Information
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    NPI Number           |    1992576383
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    Entity Type          |    Individual 
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    Provider Name        |    ALEXIS DONTAVIA WHITE CNM
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/15/2024
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    Last Update Date     |    08/22/2025
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Provider Practice Location Address
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    Address Line         |    781 AVENT FERRY RD STE 106 
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    City                 |    HOLLY SPRINGS
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    State                |    NC
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    Zip                  |    27540-7776
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    Country              |    US
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    Telephone            |    919-567-6133
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    Fax                  |    919-567-6134
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Provider Business Mailing Address
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    Address Line         |    5221 PARAMOUNT PKWY STE 420 
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    City                 |    MORRISVILLE
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    State                |    NC
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    Zip                  |    27560-5491
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    Country              |    US
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    Telephone            |    984-974-2705
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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        |    176B00000X
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    Taxonomy Name        |    Midwife
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    License Number       |    CNM08924
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    367A00000X
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    Taxonomy Name        |    Advanced Practice Midwife
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    License Number       |    908
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    License Number State |    NC
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