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General NPI Number Information
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NPI Number | 1336227669
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Entity Type | Individual
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Provider Name | CHRISTINE SKOTZKO MD
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Gender | Female
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 720 WOOD ST
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City | EUREKA
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State | CA
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Zip | 95501-4413
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Country | US
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Telephone | 707-268-2990
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Fax | 707-476-4049
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Provider Business Mailing Address
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Address Line | 415 E TAYLOR ST APT 4117
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City | SAN JOSE
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State | CA
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Zip | 95112-7022
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Country | US
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Telephone | 973-270-6814
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G68142
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD466495
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA07024200
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License Number State | NJ
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