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General NPI Number Information
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NPI Number | 1356349344
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Entity Type | Individual
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Provider Name | BOBBIE M SKUKOWSKI ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 08/07/2018
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Provider Practice Location Address
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Address Line | BOND CLINIC, P.A. 199 AVE. B., N.W.
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City | WINTER HAVEN
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State | FL
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Zip | 33881
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Country | US
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Telephone | 863-293-1191
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Fax | 863-508-2213
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Provider Business Mailing Address
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Address Line | BOND CLINIC, P.A. 500 EAST CENTRAL AVENUE
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City | WINTER HAVEN
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State | FL
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Zip | 33880
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Country | US
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Telephone | 863-293-1191
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Fax | 863-293-3635
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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 | ARNP-1186752
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License Number State | FL
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