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General NPI Number Information
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NPI Number | 1316769284
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Entity Type | Organization
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Legal Business Name | SKILLZTECH, OHIO
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 6797 N HIGH ST STE 129
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City | WORTHINGTON
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State | OH
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Zip | 43085-2577
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Country | US
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Telephone | 614-517-9940
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Fax |
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Provider Business Mailing Address
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Address Line | 6797 N HIGH ST STE 129
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City | WORTHINGTON
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State | OH
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Zip | 43085-2577
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Country | US
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Telephone | 614-517-9940
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. DANIELLE MARIE LIGHTNER
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Credential | RN
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Telephone | 614-517-9940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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