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General NPI Number Information
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NPI Number | 1962974592
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Entity Type | Individual
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Provider Name | JOELLE DANGERFIELD MSN, ARNP, AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/20/2018
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 7015 A C SKINNER PKWY STE 1100
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City | JACKSONVILLE
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State | FL
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Zip | 32256-6932
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Country | US
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Telephone | 904-515-3737
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Fax | 904-516-3738
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Provider Business Mailing Address
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Address Line | 7015 A C SKINNER PKWY STE 1
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City | JACKSONVILLE
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State | FL
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Zip | 32256-6932
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Country | US
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Telephone | 904-363-2113
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Fax | 904-363-2113
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11025054
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9359016
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License Number State | FL
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