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General NPI Number Information
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NPI Number | 1912120296
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Entity Type | Organization
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Legal Business Name | PAMELA J. SKAFF DDS
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 11/21/2014
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Provider Practice Location Address
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Address Line | 200 SOLANA RD
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City | PONTE VEDRA
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State | FL
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Zip | 32082-2232
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Country | US
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Telephone | 904-280-2884
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Fax | 904-280-2886
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Provider Business Mailing Address
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Address Line | 200 SOLANA RD
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City | PONTE VEDRA
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State | FL
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Zip | 32082-2232
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Country | US
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Telephone | 904-280-2884
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Fax | 904-280-2886
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Authorized Official
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Title or Position | DENTIST
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Name | DR. PAMELA J SKAFF
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Credential | DDS
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Telephone | 904-280-2884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN10636
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License Number State | FL
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