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General NPI Number Information
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NPI Number | 1225533201
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Entity Type | Individual
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Provider Name | JOSHUA PAUL SKAGGS DC
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Gender | Male
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 03/29/2018
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Provider Practice Location Address
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Address Line | 2502 N JOHN ST STE B
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City | GARDEN CITY
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State | KS
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Zip | 67846-3073
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Country | US
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Telephone | 620-271-0243
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Fax |
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Provider Business Mailing Address
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Address Line | 8454 E ROAD 20
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City | ULYSSES
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State | KS
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Zip | 67880-8339
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Country | US
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Telephone | 801-678-5782
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 13717
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 01-05897
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License Number State | KS
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