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General NPI Number Information
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NPI Number | 1841553476
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Entity Type | Organization
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Legal Business Name | SHERYL SKINNER FNP-BC PC
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 06/19/2012
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Provider Practice Location Address
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Address Line | 10900 N SCOTTSDALE RD STE 201
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-5228
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Country | US
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Telephone | 480-299-7649
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Fax | 866-761-1196
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Provider Business Mailing Address
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Address Line | 7119 E SHEA BLVD STE 109 PMB 233
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-6107
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Country | US
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Telephone | 480-299-7649
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Fax | 866-761-1196
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHERYL L SKINNER
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Credential | FNP
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Telephone | 480-299-7649
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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 | RN083807
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License Number State | AZ
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