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General NPI Number Information
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NPI Number | 1649478074
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Entity Type | Organization
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Legal Business Name | CRAIG A SKOLNICK MD PA
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 02/11/2008
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Provider Practice Location Address
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Address Line | 641 UNIVERSITY BLVD STE 111
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City | JUPITER
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State | FL
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Zip | 33458
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Country | US
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Telephone | 561-296-2010
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Fax | 561-296-2001
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Provider Business Mailing Address
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Address Line | 641 UNIVERSITY BLVD SUITE 111
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City | JUPITER
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State | FL
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Zip | 33458-2791
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Country | US
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Telephone | 561-296-2010
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Fax | 561-296-2001
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CRAIG A SKOLNICK
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Credential | M.D.
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Telephone | 561-254-1527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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