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General NPI Number Information
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NPI Number | 1760078216
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Entity Type | Organization
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Legal Business Name | SKIN CANCER SERVICES, INC.
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Dates
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Enumeration Date | 12/18/2020
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Last Update Date | 12/18/2020
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Provider Practice Location Address
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Address Line | 169 CYPRESS POINT DR
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-7138
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Country | US
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Telephone | 615-351-5274
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Fax |
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Provider Business Mailing Address
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Address Line | 169 CYPRESS POINT DR
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-7138
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Country | US
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Telephone | 615-351-5274
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | KENT KENT SIMPKINS
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Credential |
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Telephone | 615-351-5274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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