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General NPI Number Information
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NPI Number | 1043779150
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Entity Type | Individual
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Provider Name | TRAVIS MILAN SKIPINA MD (2019)
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Gender | Male
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 1236 HUFFMAN MILL RD STE 130
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City | BURLINGTON
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State | NC
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Zip | 27215-8700
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Country | US
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Telephone | 336-438-1060
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Fax |
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Provider Business Mailing Address
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Address Line | 2402 AVENHAM AVE SW APT 3
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City | ROANOKE
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State | VA
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Zip | 24014-1622
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Country | US
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Telephone | 920-858-2416
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Fax |
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 0101278890
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2025-01252
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License Number State | NC
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