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NPI 1396623450

NPI 1396623450 : NATALIE ANNE SKIFF PTA : FORT MILL, SC

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General NPI Number Information
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    NPI Number           |    1396623450
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    Entity Type          |    Individual 
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    Provider Name        |    NATALIE ANNE SKIFF PTA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/25/2025
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    Last Update Date     |    08/25/2025
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Provider Practice Location Address
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    Address Line         |    601 SUTTON RD S 
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    City                 |    FORT MILL
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    State                |    SC
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    Zip                  |    29715-8439
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    Country              |    US
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    Telephone            |    803-909-6447
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    16018 RAPTOR CT 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28278-8738
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    Country              |    US
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    Telephone            |    803-487-3531
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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        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    5163
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    License Number State |    SC
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Taxonomy #2
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    Taxonomy Code        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    A7955
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    License Number State |    NC
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