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General NPI Number Information
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NPI Number | 1013242122
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Entity Type | Individual
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Provider Name | DOROTHY ANN SKAGGS L.P.C.C.-S.
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Gender | Female
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Dates
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Enumeration Date | 10/07/2009
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Last Update Date | 10/14/2009
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Provider Practice Location Address
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Address Line | 615 CHURCHILL HUBBARD RD
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-1332
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Country | US
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Telephone | 330-545-7918
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Fax | 330-759-8683
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Provider Business Mailing Address
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Address Line | 615 CHURCHILL HUBBARD RD
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-1332
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Country | US
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Telephone | 330-545-7918
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Fax | 330-759-8683
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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 | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | E0700065
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License Number State | OH
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