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General NPI Number Information
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NPI Number | 1124063730
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Entity Type | Individual
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Provider Name | JON ROGER SKAGGS RPH
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Gender | Male
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1540 SPRING VALLEY DR
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City | HUNTINGTON
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State | WV
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Zip | 25704-9300
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Country | US
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Telephone | 304-429-6741
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Fax | 304-429-0273
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Provider Business Mailing Address
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Address Line | 3063 BOY SCOUT RD
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City | ASHLAND
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State | KY
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Zip | 41102-6625
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Country | US
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Telephone | 304-429-6741
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Fax | 304-429-0273
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 007718
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 007718
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207KI0005X
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Taxonomy Name | Clinical & Laboratory Immunology (Allergy & Immunology) Physician
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License Number | 0202004874
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 0202004874
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License Number State | VA
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