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General NPI Number Information
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NPI Number | 1538785423
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Entity Type | Individual
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Provider Name | GABRIEL NATHAN SKOLNICK PA-C
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Gender | Male
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Dates
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Enumeration Date | 06/17/2020
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Last Update Date | 06/17/2020
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Provider Practice Location Address
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Address Line | 950 S OCTORARA TRL
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City | PARKESBURG
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State | PA
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Zip | 19365-2100
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Country | US
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Telephone | 610-857-6639
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Fax |
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Provider Business Mailing Address
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Address Line | 2098 ROBERT FULTON HWY
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City | PEACH BOTTOM
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State | PA
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Zip | 17563-9614
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Country | US
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Telephone | 717-823-9589
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA061577
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License Number State | PA
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