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General NPI Number Information
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NPI Number | 1053299545
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Entity Type | Individual
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Provider Name | SKYLAR PALISIN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/23/2025
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Last Update Date | 08/23/2025
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Provider Practice Location Address
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Address Line | 799 WASHINGTON ST
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City | BEDFORD
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State | OH
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Zip | 44146-3658
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Country | US
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Telephone | 440-439-4225
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Fax |
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Provider Business Mailing Address
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Address Line | 32300 MONROE CT APT 205
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City | SOLON
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State | OH
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Zip | 44139-5754
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Country | US
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Telephone | 216-544-5457
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Fax |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT013397
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License Number State | OH
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