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General NPI Number Information
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NPI Number | 1477048874
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Entity Type | Individual
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Provider Name | WHITNEY RUST FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 1200 S FARMERVILLE ST
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City | RUSTON
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State | LA
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Zip | 71270-5941
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Country | US
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Telephone | 318-255-3690
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Fax | 318-251-6116
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Provider Business Mailing Address
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Address Line | 142 RUE MARGUERITE
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City | THIBODAUX
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State | LA
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Zip | 70301-6708
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Country | US
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Telephone | 985-446-2131
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP10089
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN143026
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License Number State | LA
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