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General NPI Number Information
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NPI Number | 1831670876
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Entity Type | Organization
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Legal Business Name | SKYROCIT, INC.
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Dates
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Enumeration Date | 08/28/2018
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Last Update Date | 01/07/2020
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Provider Practice Location Address
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Address Line | 500 S MAIN ST
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City | HOPE
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State | AR
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Zip | 71801-5206
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Country | US
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Telephone | 870-777-4501
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Fax | 870-777-8618
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Provider Business Mailing Address
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Address Line | PO BOX 1540
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City | HOPE
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State | AR
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Zip | 71802-1540
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Country | US
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Telephone | 870-777-4501
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Fax | 870-777-8618
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Authorized Official
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Title or Position | CEO
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Name | JUDY WATSON
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Credential |
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Telephone | 870-722-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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