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General NPI Number Information
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NPI Number | 1104772839
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Entity Type | Organization
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Legal Business Name | SKYES THE LIMIT INSTITUTE OF WELLNESS
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Dates
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Enumeration Date | 03/05/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 712 17TH ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-4807
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Country | US
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Telephone | 661-374-4348
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Fax |
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Provider Business Mailing Address
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Address Line | 11728 STARLIGHT DR
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City | BAKERSFIELD
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State | CA
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Zip | 93312-3351
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | RETINA SHAW
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Credential |
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Telephone | 661-374-4348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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