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General NPI Number Information
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NPI Number | 1083582357
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Entity Type | Individual
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Provider Name | BETH ANN SKEELS PTA
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Gender | Female
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 3700 WASHINGTON AVE
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City | EVANSVILLE
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State | IN
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Zip | 47714-0541
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Country | US
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Telephone | 812-485-4521
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Fax | 812-485-6850
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Provider Business Mailing Address
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Address Line | 1128 WESTERN HILLS DR
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City | EVANSVILLE
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State | IN
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Zip | 47720-6249
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Country | US
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Telephone | 812-485-4521
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Fax | 812-485-6850
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 06000262A
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License Number State | IN
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