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General NPI Number Information
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NPI Number | 1154397321
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Entity Type | Individual
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Provider Name | DANIEL U. SKEOCH M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 660 SANITARIUM RD SUITE 204
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City | DEER PARK
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State | CA
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Zip | 94576-9714
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Country | US
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Telephone | 707-963-5257
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Fax | 707-963-3958
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Provider Business Mailing Address
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Address Line | PO BOX 942895
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City | SACRAMENTO
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State | CA
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Zip | 94295-0001
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Country | US
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Telephone | 916-653-0080
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Fax | 916-653-1795
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G30242
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License Number State | CA
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