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General NPI Number Information
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NPI Number | 1609891449
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Entity Type | Organization
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Legal Business Name | S & K PC
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 04/20/2010
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Provider Practice Location Address
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Address Line | 27961 US HWY 98 STE 20
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City | DAPHNE
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State | AL
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Zip | 36526
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Country | US
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Telephone | 251-621-6520
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Fax | 251-621-6521
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Provider Business Mailing Address
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Address Line | 27961 US HWY 98 STE 20
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City | DAPHNE
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State | AL
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Zip | 36526
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Country | US
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Telephone | 251-621-6520
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Fax | 251-621-6521
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | BENJAMIN POWELL SCHRUBBE
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Credential | MD
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Telephone | 251-621-6520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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