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General NPI Number Information
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NPI Number | 1730804881
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Entity Type | Individual
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Provider Name | ASHLEY NOELLE WHITE DNP
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Gender | Female
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Dates
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Enumeration Date | 10/10/2022
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Last Update Date | 10/10/2022
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Provider Practice Location Address
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Address Line | 2200 W EAU GALLIE BLVD STE 200
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City | MELBOURNE
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State | FL
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Zip | 32935-3166
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Country | US
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Telephone | 321-255-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 328 MEADOWWOOD LN
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City | MELBOURNE
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State | FL
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Zip | 32904-3824
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Country | US
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Telephone | 321-517-1094
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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 | 11022228
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License Number State | FL
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