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General NPI Number Information
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NPI Number | 1962374504
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Entity Type | Individual
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Provider Name | RAEANNA WHITE
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Gender | Female
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 10000 W COLONIAL DR STE 285
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City | OCOEE
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State | FL
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Zip | 34761-3432
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Country | US
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Telephone | 407-298-6950
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Fax | 407-578-2354
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Provider Business Mailing Address
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Address Line | 10000 W COLONIAL DR STE 285
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City | OCOEE
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State | FL
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Zip | 34761-3432
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Country | US
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Telephone | 407-298-6950
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Fax | 407-578-2354
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11042411
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 11042411
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License Number State | FL
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