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General NPI Number Information
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NPI Number | 1760991574
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Entity Type | Individual
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Provider Name | JACLYN TAYLOR ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2017
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Last Update Date | 10/05/2017
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Provider Practice Location Address
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Address Line | 14011 BEACH BLVD STE 120
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City | JACKSONVILLE
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State | FL
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Zip | 32250-1695
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Country | US
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Telephone | 904-223-6400
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Fax | 904-223-6420
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Provider Business Mailing Address
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Address Line | 7855 ARGYLE FOREST BLVD STE 101
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City | JACKSONVILLE
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State | FL
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Zip | 32244-5597
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Country | US
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Telephone | 904-282-6331
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Fax | 904-282-4117
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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 | ARNP9171735
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License Number State | FL
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