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NPI 1457160491

NPI 1457160491 : EVOLVE WOMENS HEALTHCARE : PALATKA, FL

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General NPI Number Information
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    NPI Number           |    1457160491
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    Entity Type          |    Organization 
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    Legal Business Name  |    EVOLVE WOMENS HEALTHCARE 
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Dates
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    Enumeration Date     |    01/04/2025
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    Last Update Date     |    08/26/2025
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Provider Practice Location Address
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    Address Line         |    520 ZEAGLER DR 
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    City                 |    PALATKA
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    State                |    FL
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    Zip                  |    32177-3813
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    Country              |    US
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    Telephone            |    386-937-1683
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    520 ZEAGLER DR 
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    City                 |    PALATKA
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    State                |    FL
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    Zip                  |    32177-3813
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    Country              |    US
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    Telephone            |    386-937-1683
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     WHITNEY  RIGDON 
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    Credential           |    APRN
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    Telephone            |    386-937-1683
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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