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General NPI Number Information
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NPI Number | 1679069157
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Entity Type | Individual
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Provider Name | ANNA WOODWARD DONAHUE APRN
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Gender | Female
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Dates
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Enumeration Date | 07/07/2018
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 13450 NW 104TH TER
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City | ALACHUA
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State | FL
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Zip | 32615-5608
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Country | US
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Telephone | 352-757-2711
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Fax |
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Provider Business Mailing Address
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Address Line | 13450 NW 104TH TER STE B
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City | ALACHUA
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State | FL
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Zip | 32615-5608
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Country | US
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Telephone | 352-757-2711
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN9473943
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AG06180195
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 9473943
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License Number State | FL
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