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General NPI Number Information
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NPI Number | 1083600944
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Entity Type | Individual
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Provider Name | GRZEGORZ SKIBA MD
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Gender | Male
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Dates
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Enumeration Date | 09/26/2005
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 925 NE 30TH TER STE 206
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City | HOMESTEAD
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State | FL
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Zip | 33033-7614
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Country | US
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Telephone | 786-475-7703
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Fax | 855-490-4044
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Provider Business Mailing Address
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Address Line | 201 S BISCAYNE BLVD STE 710
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City | MIAMI
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State | FL
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Zip | 33131-4308
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Country | US
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Telephone | 305-428-7730
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Fax | 786-558-5464
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 22596
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | ME126673
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD00048913
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License Number State | WA
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