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General NPI Number Information
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NPI Number | 1790259026
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Entity Type | Organization
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Legal Business Name | SK HEALTH SERVICES LLC
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Dates
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Enumeration Date | 01/21/2019
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Last Update Date | 01/21/2019
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Provider Practice Location Address
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Address Line | 52 STURGIS CORNER DR
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City | IOWA CITY
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State | IA
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Zip | 52246-5617
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Country | US
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Telephone | 319-343-1696
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Fax | 319-359-4123
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Provider Business Mailing Address
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Address Line | 2664 LOOKOUT POINT CIR NE
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City | SOLON
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State | IA
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Zip | 52333-9700
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Country | US
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Telephone | 319-343-1696
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Fax | 319-359-4123
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | SARAH KERSEVICH
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Credential | ARNP
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Telephone | 319-321-3605
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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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