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General NPI Number Information
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NPI Number | 1801838057
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Entity Type | Individual
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Provider Name | DANA OMEGA WHALEY ARNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 110 NE 5TH STREET
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City | CARRABELLE
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State | FL
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Zip | 32322-3529
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Country | US
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Telephone | 850-697-2345
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Fax | 850-697-2348
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Provider Business Mailing Address
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Address Line | 135 AVENUE G
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City | APALCHICOLA
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State | FL
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Zip | 32320-1613
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Country | US
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Telephone | 850-653-8853
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Fax | 850-653-2474
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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 | ARNP2809662
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License Number State | FL
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