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General NPI Number Information
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NPI Number | 1538377833
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Entity Type | Individual
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Provider Name | DAVID JOSEPH SKARUPA M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 01/04/2018
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Provider Practice Location Address
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Address Line | 600 MOYE BLVD, 2ED ECU BRODY SCHOOL OF MEDICINE DEPT OF SURGERY
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City | GREENVILLE
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State | NC
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Zip | 27834
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Country | US
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Telephone | 252-847-4299
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Fax | 252-847-8208
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Provider Business Mailing Address
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Address Line | PO BOX 44008
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City | JACKSONVILLE
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State | FL
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Zip | 32231-4008
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Country | US
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Telephone | 904-383-1015
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 4301086454
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2011-01347
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 2011-01347
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | ME116513
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License Number State | FL
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