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General NPI Number Information
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NPI Number | 1619448552
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Entity Type | Individual
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Provider Name | WHITNEY DECKER APRN
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Gender | Female
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Dates
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Enumeration Date | 12/17/2018
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 11605 E 23RD ST S
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City | INDEPENDENCE
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State | MO
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Zip | 64050-4201
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Country | US
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Telephone | 816-579-6891
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Fax |
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Provider Business Mailing Address
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Address Line | 102 WOODMONT BLVD STE 600
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City | NASHVILLE
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State | TN
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Zip | 37205-5250
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Country | US
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Telephone | 888-987-1151
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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 | 53-78494-011
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License Number State | KS
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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 | 2025031022
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License Number State | MO
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