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General NPI Number Information
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NPI Number | 1255562922
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Entity Type | Individual
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Provider Name | JENIFER SCOTT GEORGE MSN, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/29/2009
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Last Update Date | 02/29/2020
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Provider Practice Location Address
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Address Line | 4727 SUNBEAM RD
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City | JACKSONVILLE
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State | FL
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Zip | 32257-6187
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Country | US
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Telephone | 904-880-0622
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Fax |
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Provider Business Mailing Address
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Address Line | 4727 SUNBEAM RD
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City | JACKSONVILLE
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State | FL
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Zip | 32257-6187
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Country | US
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Telephone | 904-880-0622
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Fax |
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | ARNP 3018122
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License Number State | FL
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