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General NPI Number Information
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NPI Number | 1154650752
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Entity Type | Individual
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Provider Name | BRANDI LEIGHANN SKILES CPNP
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Gender | Female
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Dates
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Enumeration Date | 12/10/2009
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 101 W 8TH AVE FL 3
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City | SPOKANE
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State | WA
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Zip | 99204-2307
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Country | US
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Telephone | 509-474-2777
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 310001-4114
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City | PASADENA
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State | CA
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Zip | 91110-4114
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Country | US
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Telephone | 667-472-4558
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 100556
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 91730
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP60522758
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License Number State | WA
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