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General NPI Number Information
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NPI Number | 1548457021
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Entity Type | Individual
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Provider Name | GINA M WAITT ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/28/2007
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Last Update Date | 06/01/2010
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Provider Practice Location Address
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Address Line | 857 POST RD
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City | WARWICK
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State | RI
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Zip | 02888-3360
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Country | US
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Telephone | 401-467-3115
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Fax |
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Provider Business Mailing Address
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Address Line | 857 POST RD
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City | WARWICK
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State | RI
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Zip | 02888-3360
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Country | US
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Telephone | 401-467-3115
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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 | ARNP9263496
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NPP37523
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License Number State | RI
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