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General NPI Number Information
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NPI Number | 1033403266
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Entity Type | Organization
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Legal Business Name | BLUE SKY, MD PC
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 03/07/2013
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Provider Practice Location Address
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Address Line | 317 N KING ST STE A
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-4349
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Country | US
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Telephone | 828-693-9199
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Fax | 828-692-2487
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Provider Business Mailing Address
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Address Line | PO BOX 360
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City | SYLVA
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State | NC
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Zip | 28779-0360
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Country | US
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Telephone | 828-587-6312
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Fax | 828-586-8209
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Authorized Official
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Title or Position | BILLING DIRECTOR
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Name | RUTH E MARTIKAINEN
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Credential |
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Telephone | 828-586-8160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 200400137
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License Number State | NC
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