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General NPI Number Information
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NPI Number | 1720052491
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Entity Type | Individual
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Provider Name | ALLYSON LEIGH SKEBE PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 10/20/2017
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Provider Practice Location Address
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Address Line | 3755 ORANGE PL STE 101
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City | BEACHWOOD
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State | OH
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Zip | 44122-4455
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Country | US
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Telephone | 844-746-8537
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Fax | 216-450-1810
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Provider Business Mailing Address
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Address Line | 3755 ORANGE PL STE 101
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City | BEACHWOOD
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State | OH
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Zip | 44122-4455
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Country | US
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Telephone | 844-746-8537
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Fax | 216-450-1810
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 50.002696RX
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License Number State | OH
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