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General NPI Number Information
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NPI Number | 1710169909
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Entity Type | Organization
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Legal Business Name | DELISA SKEETE HENRY PA
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 4100 S HOSPITAL DR STE # 111
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City | PLANTATION
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State | FL
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Zip | 33317-2813
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Country | US
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Telephone | 954-581-8706
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Fax | 954-581-8705
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Provider Business Mailing Address
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Address Line | 4100 S HOSPITAL DR STE # 111
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City | PLANTATION
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State | FL
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Zip | 33317-2813
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Country | US
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Telephone | 954-581-8706
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Fax | 954-581-8705
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DELISA SKEETE HENRY
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Credential | MD
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Telephone | 954-581-8706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME85462
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License Number State | FL
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