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General NPI Number Information
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NPI Number | 1225220239
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Entity Type | Individual
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Provider Name | ANGELA K SKINNER FNP
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Gender | Female
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 08/28/2012
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Provider Practice Location Address
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Address Line | 921 W BEACON ST
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City | PHILADELPHIA
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State | MS
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Zip | 39350-3229
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Country | US
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Telephone | 601-656-6116
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Fax | 601-656-5445
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Provider Business Mailing Address
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Address Line | 921 W BEACON ST
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City | PHILADELPHIA
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State | MS
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Zip | 39350-3229
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Country | US
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Telephone | 601-656-6116
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Fax | 601-656-5445
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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 | R757852
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License Number State | MS
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