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General NPI Number Information
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NPI Number | 1295836641
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Entity Type | Individual
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Provider Name | DELISA SKEETE-HENRY M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 11/16/2011
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Provider Practice Location Address
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Address Line | 1625 SE 3RD AVE STE # 502
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-2521
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Country | US
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Telephone | 954-581-8706
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Fax | 954-581-8705
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Provider Business Mailing Address
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Address Line | 4100 S HOSPITAL DR STE # 111
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City | PLANTATION
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State | FL
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Zip | 33317-2813
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Country | US
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Telephone | 954-581-8706
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Fax | 954-581-8705
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME85462
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License Number State | FL
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