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General NPI Number Information
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NPI Number | 1932534823
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Entity Type | Individual
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Provider Name | QUAWENDELLA BAEJUHNE SKINNER ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/10/2013
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 1734 KINGSLEY AVE STE 7
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City | ORANGE PARK
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State | FL
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Zip | 32073-4418
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Country | US
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Telephone | 904-474-9766
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Fax | 877-847-8552
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Provider Business Mailing Address
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Address Line | 1734 KINGSLEY AVE STE 7
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City | ORANGE PARK
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State | FL
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Zip | 32073-4418
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Country | US
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Telephone | 904-474-9766
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Fax | 877-847-8552
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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 | 11011586
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License Number State | FL
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