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General NPI Number Information
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NPI Number | 1285502492
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Entity Type | Organization
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Legal Business Name | SKY MEDICAL AND REHABILITATION LLC
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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 | 5801 CHEW AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19138-1727
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Country | US
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Telephone | 215-844-3500
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Fax | 215-844-3555
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Provider Business Mailing Address
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Address Line | 5801 CHEW AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19138-1727
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Country | US
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Telephone | 215-844-3500
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Fax | 215-844-3555
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY
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Name | DR. PAUL LEWIS EZEUKWU
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Credential |
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Telephone | 267-808-7249
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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 |
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License Number State |
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