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General NPI Number Information
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NPI Number | 1891760088
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Entity Type | Individual
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Provider Name | YVETTE M MCQUEEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 04/10/2016
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Provider Practice Location Address
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Address Line | 11250 OLD SAINT AUGUSTINE RD SUITE 15324
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City | JACKSONVILLE
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State | FL
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Zip | 32257-1088
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Country | US
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Telephone | 904-382-6907
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Fax | 904-268-3259
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Provider Business Mailing Address
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Address Line | 11250 OLD SAINT AUGUSTINE RD SUITE 15324
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City | JACKSONVILLE
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State | FL
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Zip | 32257-1088
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Country | US
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Telephone | 904-382-6907
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Fax | 904-268-3259
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME83280
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 4301072139
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01070962A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2008026698
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0101243606
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 62749
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD041883
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License Number State | DC
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