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General NPI Number Information
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NPI Number | 1801484621
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Entity Type | Individual
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Provider Name | KADIATU ZOKER NP
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Gender | Female
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Dates
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Enumeration Date | 01/07/2021
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Last Update Date | 01/07/2021
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Provider Practice Location Address
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Address Line | 1 SCHIRCLIFF WAY
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City | JACKSONVILLE
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State | FL
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Zip | 32204
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Country | US
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Telephone | 904-308-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 3914 HEATHERBROOK PL
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City | MIDDLEBURG
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State | FL
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Zip | 32068-4166
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Country | US
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Telephone | 904-755-6100
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11010816
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License Number State | FL
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