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General NPI Number Information
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NPI Number | 1760207245
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Entity Type | Individual
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Provider Name | OLGA LUCIA WHITE NP
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Gender | Female
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 1900 DON WICKHAM DR STE 110
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City | CLERMONT
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State | FL
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Zip | 34711-1980
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Country | US
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Telephone | 321-241-7275
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 DON WICKHAM DR STE 110
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City | CLERMONT
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State | FL
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Zip | 34711-1980
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Country | US
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Telephone | 321-241-7275
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APRN11022358
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11022358
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License Number State | FL
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