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General NPI Number Information
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NPI Number | 1790943124
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Entity Type | Organization
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Legal Business Name | DUVAL COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 4727 LANNIE RD
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City | JACKSONVILLE
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State | FL
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Zip | 32218-1126
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Country | US
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Telephone | 904-766-5086
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Fax |
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Provider Business Mailing Address
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Address Line | 4727 LANNIE RD
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City | JACKSONVILLE
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State | FL
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Zip | 32218-1126
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Country | US
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Telephone | 904-766-5086
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Fax |
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Authorized Official
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Title or Position | CLINICAL ASSOCIATE
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Name | MS. CATHERINE MARY BAKER
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Credential | ARNP
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Telephone | 904-766-5083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | ARNP3099892
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License Number State | FL
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