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General NPI Number Information
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NPI Number | 1770753121
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Entity Type | Individual
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Provider Name | AMANDA MARIE SKAGGS PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 09/20/2025
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Provider Practice Location Address
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Address Line | 131 S PAUL CARR DR
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City | CHECOTAH
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State | OK
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Zip | 74426-2063
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Country | US
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Telephone | 918-473-5404
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Fax | 918-473-2719
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Provider Business Mailing Address
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Address Line | RR 6 BOX 840
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City | STILWELL
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State | OK
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Zip | 74960-8703
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Country | US
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Telephone | 918-696-8800
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14206
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License Number State | OK
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