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General NPI Number Information
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NPI Number | 1740365527
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Entity Type | Individual
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Provider Name | MARY FRANCES SKEELS CNS/PMH
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Gender | Female
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | 409 W FERGUSON ST
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City | TYLER
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State | TX
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Zip | 75702-5632
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Country | US
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Telephone | 903-596-8353
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Fax | 903-596-9471
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Provider Business Mailing Address
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Address Line | 529 SKIPPING STONE LN
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City | TYLER
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State | TX
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Zip | 75703-0815
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Country | US
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Telephone | 903-258-3552
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Fax |
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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 | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 220957
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License Number State | TX
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