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General NPI Number Information
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NPI Number | 1104796986
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Entity Type | Organization
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Legal Business Name | SKY CARE OT LLC
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 1500 AVE OF THE STATES STE 302
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4791
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Country | US
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Telephone | 800-604-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 AVE OF THE STATES STE 302
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4791
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | SORA SCHER
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Credential |
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Telephone | 800-604-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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