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General NPI Number Information
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NPI Number | 1508054107
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Entity Type | Organization
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Legal Business Name | L. SKOBLE MD INC
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 04/04/2011
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Provider Practice Location Address
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Address Line | 28 DONIZETTI RD
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City | WESTERLY
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State | RI
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Zip | 02891-4621
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Country | US
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Telephone | 401-348-9947
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Fax | 401-322-9981
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Provider Business Mailing Address
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Address Line | 28 DONIZETTI RD
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City | WESTERLY
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State | RI
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Zip | 02891-4621
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Country | US
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Telephone | 401-348-9947
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Fax | 401-322-9981
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LUISA SKOBLE
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Credential | MD
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Telephone | 401-348-9947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | MD08990
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License Number State | RI
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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 | MD08990
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License Number State | RI
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