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General NPI Number Information
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NPI Number | 1346769825
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Entity Type | Organization
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Legal Business Name | DR. SKEETE & ASSOCIATES OF NORTH GEORGIA, P.C.
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Dates
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Enumeration Date | 09/15/2017
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Last Update Date | 09/15/2017
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Provider Practice Location Address
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Address Line | 150 PEARL NIX PARKWAY SUITE D3A
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City | GAINESVILLE
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State | GA
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Zip | 30501
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Country | US
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Telephone | 770-287-1623
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Fax | 770-297-0861
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Provider Business Mailing Address
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Address Line | 150 PEARL NIX PARKWAY SUITE D3A
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City | GAINESVILLE
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State | GA
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Zip | 30501
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Country | US
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Telephone | 770-287-1623
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Fax | 770-297-0861
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. JULIUS NATHANIEL SKEETE
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Credential | O.D.
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Telephone | 770-287-1623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 001589
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License Number State | GA
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