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NPI 1952304529

NPI 1952304529 : STEPHEN X SKAPEK MD : DURHAM, NC

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General NPI Number Information
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    NPI Number           |    1952304529
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHEN X SKAPEK MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/27/2005
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    Last Update Date     |    05/24/2024
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Provider Practice Location Address
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    Address Line         |    2301 ERWIN RD 
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    City                 |    DURHAM
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    State                |    NC
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    Zip                  |    27705-4699
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    Country              |    US
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    Telephone            |    919-684-3401
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    Fax                  |    919-681-7950
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Provider Business Mailing Address
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    Address Line         |    DUMC BOX 102382 
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    City                 |    DURHAM
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    State                |    NC
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    Zip                  |    27710-0001
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    Country              |    US
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    Telephone            |    919-684-3401
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    Fax                  |    919-681-7950
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2080P0207X
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    Taxonomy Name        |    Pediatric Hematology & Oncology Physician
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    License Number       |    2024-00657
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    2080P0207X
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    Taxonomy Name        |    Pediatric Hematology & Oncology Physician
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    License Number       |    31199
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    License Number State |    TN
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