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General NPI Number Information
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NPI Number | 1508290966
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Entity Type | Individual
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Provider Name | ANDREA L WHIDDON NP-C
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Gender | Female
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Dates
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Enumeration Date | 08/21/2013
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 211 N JEFFERSON ST
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City | ALBANY
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State | GA
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Zip | 31701-2548
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Country | US
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Telephone | 229-485-1647
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Fax | 292-375-0766
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Provider Business Mailing Address
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Address Line | 535 SHANKLIN RD
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City | ALBANY
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State | GA
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Zip | 31705-4801
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Country | US
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Telephone | 229-881-6350
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN171380
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License Number State | GA
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