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General NPI Number Information
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NPI Number | 1861594939
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Entity Type | Individual
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Provider Name | DONNA M WHALEY CRNP
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Gender | Female
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 410 LEE ROAD 265
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City | CUSSETA
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State | AL
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Zip | 36852-2944
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Country | US
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Telephone | 334-275-9500
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Fax | 888-527-5911
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Provider Business Mailing Address
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Address Line | 410 LEE ROAD 265
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City | CUSSETA
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State | AL
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Zip | 36852-2944
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Country | US
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Telephone | 334-276-9500
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Fax | 888-527-5911
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1085743
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License Number State | AL
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