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NPI Code Detail

MEDICARE: EDWARD WHITE

MEDICARE: EDWARD WHITE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1285002832
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD WHITE
Provider Business Mailing Address
First Line : 525 ROBERTS ST
Second Line :
City : RENO
State : NV
Zip : 89502-7818
Country : US
Telephone Number : 775-348-8811
Fax Number : 775-313-9759
Provider Business Practice Location Address
First Line : 525 ROBERTS ST
Second Line :
City : RENO
State : NV
Zip : 89502-7818
Country : US
Telephone Number : 775-348-8811
Fax Number : 775-313-9759
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2015
Last Update Date : 09/11/2015

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Directions to “ EDWARD WHITE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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