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General NPI Number Information
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NPI Number | 1063025906
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Entity Type | Individual
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Provider Name | FABIOLA B MARCELIN NP
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Gender | Female
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Dates
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Enumeration Date | 08/29/2020
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 6820 SAINT AUGUSTINE RD STE A
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City | JACKSONVILLE
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State | FL
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Zip | 32217-2818
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Country | US
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Telephone | 904-337-1268
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Fax | 720-600-0873
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Provider Business Mailing Address
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Address Line | 6820 SAINT AUGUSTINE RD STE A
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City | JACKSONVILLE
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State | FL
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Zip | 32217-2818
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Country | US
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Telephone | 904-337-1268
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Fax | 720-600-0873
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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 | 11009926
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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 | 0024185117
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 11009926
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License Number State | FL
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