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General NPI Number Information
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NPI Number | 1710326517
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Entity Type | Individual
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Provider Name | DR. AWBREE W O'QUINN
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Gender | Female
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Dates
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Enumeration Date | 06/14/2013
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Last Update Date | 08/04/2015
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Provider Practice Location Address
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Address Line | 2233 COUNTY ROAD 210 WEST
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City | ST. JOHNS
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State | FL
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Zip | 32259
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Country | US
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Telephone | 904-494-8115
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Fax |
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Provider Business Mailing Address
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Address Line | 2233 COUNTY ROAD 210 WEST
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City | ST. JOHNS
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State | FL
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Zip | 32259
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Country | US
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Telephone | 904-494-8115
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN20135
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License Number State | FL
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