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General NPI Number Information
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NPI Number | 1477433134
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Entity Type | Individual
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Provider Name | DANIELLE MARIE SKELLY LMFTA
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Gender | Female
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 1295 OLD US 1 HWY STE B
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-6344
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Country | US
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Telephone | 910-725-0211
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Fax | 910-725-0301
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Provider Business Mailing Address
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Address Line | 632 W PROSPECT AVE
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City | RAEFORD
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State | NC
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Zip | 28376-2512
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Country | US
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Telephone | 910-875-5590
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Fax | 910-875-5008
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 20852A
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License Number State | NC
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