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General NPI Number Information
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NPI Number | 1285549766
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Entity Type | Individual
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Provider Name | SKYLA IMANI VANTRIKT BS, CLD, CPD
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Gender | Female
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 3802 DUFFY LN
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City | PHILADELPHIA
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State | PA
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Zip | 19154-1524
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Country | US
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Telephone | 215-828-7724
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Fax |
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Provider Business Mailing Address
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Address Line | 1510 CHESTER PIKE STE 301
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City | EDDYSTONE
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State | PA
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Zip | 19022-1471
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Country | US
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Telephone | 484-832-5011
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State | PA
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