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General NPI Number Information
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NPI Number | 1912466939
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Entity Type | Individual
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Provider Name | SOFIA ANNA SKULSKY AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 900 LANIDEX PLZ
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City | PARSIPPANY
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State | NJ
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Zip | 07054-2707
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Country | US
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Telephone | 862-683-6741
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Fax | 800-442-3873
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Provider Business Mailing Address
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Address Line | 91 N SHORE RD
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City | DENVILLE
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State | NJ
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Zip | 07834-1142
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Country | US
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Telephone | 973-715-1294
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Fax | 800-442-3873
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ00911000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 26NJ00911000
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License Number State | NJ
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