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General NPI Number Information
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NPI Number | 1821215492
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Entity Type | Individual
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Provider Name | MS. MICHELE SKODZINSKI HARRIS
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Gender | Female
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 401 E 12TH ST
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City | WILMINGTON
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State | DE
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Zip | 19801-3403
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Country | US
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Telephone | 302-576-8080
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Fax |
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Provider Business Mailing Address
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Address Line | 18 LONGSPUR DR
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City | WILMINGTON
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State | DE
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Zip | 19808-1971
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Country | US
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Telephone | 302-234-2553
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | LG0000251
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License Number State | DE
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