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General NPI Number Information
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NPI Number | 1275636144
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Entity Type | Individual
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Provider Name | JAIME LOU WHITEAKER CRNA
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Gender | Female
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 06/04/2014
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Provider Practice Location Address
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Address Line | 2861 S DELANEY AVE STE B
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City | ORLANDO
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State | FL
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Zip | 32806-2806
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Country | US
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Telephone | 407-472-5095
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Fax | 865-777-0910
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Provider Business Mailing Address
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Address Line | 2861 S DELANEY AVE STE B
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City | ORLANDO
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State | FL
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Zip | 32806-2806
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Country | US
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Telephone | 407-472-5095
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Fax | 865-777-0910
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 4721A
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1108102
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 14271
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | ARNP1512002
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License Number State | FL
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