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General NPI Number Information
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NPI Number | 1235657321
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Entity Type | Organization
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Legal Business Name | PA SKILLS, PLLC
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Dates
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Enumeration Date | 09/08/2017
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Last Update Date | 09/08/2017
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Provider Practice Location Address
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Address Line | 1303 N MAIN ST
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City | CEDAR CITY
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State | UT
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Zip | 84721-9746
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Country | US
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Telephone | 520-858-5758
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Fax |
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Provider Business Mailing Address
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Address Line | 1335 S 860 W
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City | CEDAR CITY
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State | UT
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Zip | 84720-3708
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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 | OWNER
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Name | PATRICK THOMPSON
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Credential | PA-C
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Telephone | 520-858-5758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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