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General NPI Number Information
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NPI Number | 1740353515
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Entity Type | Individual
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Provider Name | DEBORAH S. SKELTON MD
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Gender | Female
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 971 LAKELAND DR STE 1160
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City | JACKSON
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State | MS
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Zip | 39216-4609
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Country | US
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Telephone | 601-981-2404
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Fax |
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Provider Business Mailing Address
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Address Line | 500 LONG LEAF PL
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City | MADISON
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State | MS
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Zip | 39110-5535
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Country | US
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Telephone | 601-362-7252
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Fax | 888-222-6996
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 09701
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License Number State | MS
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