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General NPI Number Information
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NPI Number | 1821308933
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Entity Type | Organization
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Legal Business Name | SKS MEDICAL PLLC
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Dates
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Enumeration Date | 10/08/2010
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Last Update Date | 10/08/2010
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Provider Practice Location Address
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Address Line | 310 SE 29TH PL STE 100
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City | OCALA
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State | FL
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Zip | 34471-0486
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Country | US
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Telephone | 352-732-6400
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Fax | 352-671-5283
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Provider Business Mailing Address
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Address Line | 310 SE 29TH PL STE 100
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City | OCALA
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State | FL
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Zip | 34471-0486
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Country | US
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Telephone | 352-732-6400
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Fax | 352-671-5283
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Authorized Official
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Title or Position | MANAGER
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Name | SANJAY A PATEL
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Credential | MD
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Telephone | 352-732-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME69007
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License Number State | FL
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