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General NPI Number Information
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NPI Number | 1942837786
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Entity Type | Individual
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Provider Name | WHITNEY KIAN MERCY
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Gender | Female
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 06/11/2020
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Provider Practice Location Address
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Address Line | 100 RETREAT AVE STE 900
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City | HARTFORD
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State | CT
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Zip | 06106-2553
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Country | US
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Telephone | 860-218-2245
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Fax |
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Provider Business Mailing Address
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Address Line | 6098 EATON ST
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-6416
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Country | US
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Telephone | 561-352-7232
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9334023
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 11007012
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 12.008878
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License Number State | CT
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