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General NPI Number Information
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NPI Number | 1386933737
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Entity Type | Organization
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Legal Business Name | ROBERT A SKIB MD PLLC
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Dates
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Enumeration Date | 04/06/2011
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Last Update Date | 04/06/2011
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Provider Practice Location Address
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Address Line | 305 S KENOSHA AVE
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City | TULSA
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State | OK
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Zip | 74120-2430
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Country | US
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Telephone | 918-745-0960
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Fax | 918-745-0960
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Provider Business Mailing Address
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Address Line | 305 S KENOSHA AVE
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City | TULSA
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State | OK
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Zip | 74120-2430
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Country | US
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Telephone | 918-745-0960
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Fax | 918-745-0960
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Authorized Official
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Title or Position | MD
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Name | DR. ROBERT ALAN SKIB
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Credential | MD
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Telephone | 918-746-0960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 19604
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License Number State | OK
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