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General NPI Number Information
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NPI Number | 1073890505
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Entity Type | Individual
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Provider Name | DARLENE G VENEZIA SKAGGS MSN,NP-C
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Gender | Female
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Dates
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Enumeration Date | 11/11/2011
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 1001 E. MAIN SREET
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City | BRADFORD
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State | PA
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Zip | 16701-1036
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Country | US
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Telephone | 814-368-1000
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Fax | 814-368-1008
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Provider Business Mailing Address
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Address Line | 1001 E MAIN ST
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City | BRADFORD
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State | PA
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Zip | 16701-3267
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Country | US
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Telephone | 814-368-1000
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Fax | 814-368-1008
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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 | SP011771
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 338303
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License Number State | NY
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