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General NPI Number Information
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NPI Number | 1205633096
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Entity Type | Individual
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Provider Name | CODY SKELTON
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Gender | Male
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 865 EASTON RD STE 180
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City | WARRINGTON
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State | PA
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Zip | 18976-1879
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Country | US
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Telephone | 215-999-4724
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Fax |
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Provider Business Mailing Address
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Address Line | 311 THOUSAND ACRE RD
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City | SELLERSVILLE
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State | PA
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Zip | 18960-1037
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Country | US
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Telephone | 267-772-7884
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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