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General NPI Number Information
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NPI Number | 1316765571
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Entity Type | Organization
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Legal Business Name | SKWIDS & SKWIGGLES PEDIATRICS PLLC
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Dates
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Enumeration Date | 09/27/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 1620 LOOKOUT PT
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City | SAN ANTONIO
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State | TX
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Zip | 78260-2429
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Country | US
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Telephone | 210-487-9688
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Fax |
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Provider Business Mailing Address
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Address Line | 26108 OVERLOOK PKWY STE 401
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City | SAN ANTONIO
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State | TX
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Zip | 78260-6059
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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 | ROCHELLE FLYNN
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Credential | MD
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Telephone | 210-487-9688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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