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General NPI Number Information
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NPI Number | 1972946606
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Entity Type | Individual
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Provider Name | ALICE ANN WHITTINGTON-GULBA FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/11/2013
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 6405 N FEDERAL HWY STE 401
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-1421
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Country | US
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Telephone | 954-958-5150
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Fax | 954-958-5155
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Provider Business Mailing Address
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Address Line | 1700 NW 49TH ST STE 125
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-3750
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Country | US
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Telephone | 954-958-5150
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Fax | 954-958-5155
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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 | APRN11034008
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License Number State | FL
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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 | AP4955
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License Number State | AZ
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