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General NPI Number Information
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NPI Number | 1124792940
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Entity Type | Individual
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Provider Name | RENEE SHARON SCHOCK AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 1348 S 18TH ST STE 200
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-4785
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Country | US
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Telephone | 904-261-9786
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Fax | 904-376-3203
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Provider Business Mailing Address
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Address Line | PO BOX 746652
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City | ATLANTA
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State | GA
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Zip | 30374-6652
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Country | US
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Telephone | 904-202-2092
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Fax | 904-376-4075
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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 | APRN11014390
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11014390
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 9319672
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License Number State | FL
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