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General NPI Number Information
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NPI Number | 1760719512
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Entity Type | Individual
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Provider Name | FUNMILAYO JENNIFER WHITAKER RN
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Gender | Female
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Dates
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Enumeration Date | 11/14/2009
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Last Update Date | 06/29/2016
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Provider Practice Location Address
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Address Line | 833 HILLBROOK LN
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City | LANGHORNE
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State | PA
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Zip | 19047-8510
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Country | US
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Telephone | 484-645-0831
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Fax | 215-757-2506
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Provider Business Mailing Address
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Address Line | 833 HILLBROOK LN
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City | LANGHORNE
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State | PA
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Zip | 19047-8510
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Country | US
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Telephone | 484-645-0831
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Fax | 215-757-2506
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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 | SP016195
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License Number State | PA
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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 | 26NJ00646400
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN601756
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR14649300
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN215138
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 696315
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License Number State | NY
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