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General NPI Number Information
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NPI Number | 1366107542
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Entity Type | Individual
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Provider Name | WILLA ALEXIS ATWELL RN
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Gender | Female
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Dates
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Enumeration Date | 11/03/2021
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 150 W 22ND ST
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City | RIVIERA BEACH
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State | FL
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Zip | 33404-5512
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Country | US
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Telephone | 561-685-8209
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Fax |
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Provider Business Mailing Address
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Address Line | 605 KINGFISH RD
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City | NORTH PALM BEACH
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State | FL
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Zip | 33408-3705
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Country | US
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Telephone | 561-685-8209
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | PN5213347
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | RN3646134
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License Number State | FL
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