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General NPI Number Information
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NPI Number | 1912191917
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Entity Type | Organization
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Legal Business Name | SAULIUS J SKEIVYS MD PC
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Dates
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Enumeration Date | 09/02/2007
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 5718 WOODSIDE AVENUE
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City | WOODSIDE
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State | NY
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Zip | 11377-3444
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Country | US
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Telephone | 718-639-3600
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Fax | 718-397-8049
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Provider Business Mailing Address
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Address Line | 5718 WOODSIDE AVENUE
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City | WOODSIDE
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State | NY
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Zip | 11377-3444
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Country | US
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Telephone | 718-639-3600
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Fax | 718-397-8049
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAULIUS J SKEIVYS
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Credential | MD
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Telephone | 718-639-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 178908
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License Number State | NY
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