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General NPI Number Information
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NPI Number | 1033540463
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Entity Type | Individual
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Provider Name | ANGELA WINDOM O'DONNELL APRN, CNM, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/11/2013
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Last Update Date | 03/17/2023
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Provider Practice Location Address
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Address Line | 22455 FLORA PARKE XING
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-8000
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Country | US
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Telephone | 904-452-4790
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Fax |
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Provider Business Mailing Address
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Address Line | 86132 MEADOWRIDGE CT STE 240
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City | YULEE
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State | FL
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Zip | 32097-6432
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Country | US
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Telephone | 770-301-5834
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 9337495
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | ARNP9337495
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 99337495
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License Number State | FL
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