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General NPI Number Information
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NPI Number | 1497335004
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Entity Type | Individual
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Provider Name | HANNAH DOREEN SKERBETZ M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/09/2021
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Last Update Date | 04/09/2021
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Provider Practice Location Address
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Address Line | 205 PENN AVE
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City | BENTLEYVILLE
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State | PA
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Zip | 15314-1138
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Country | US
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Telephone | 724-678-0507
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Fax |
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Provider Business Mailing Address
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Address Line | 205 PENN AVE
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City | BENTLEYVILLE
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State | PA
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Zip | 15314-1138
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Country | US
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Telephone | 724-678-0507
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SL015469
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License Number State | PA
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Legacy Identifiers
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Identifier #1
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Identifier Code | 103700838
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Identifier Type | OTHER
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Identifier State | PA
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Identifier Issuer | REQUEST FOR ASSIGNMENT OF FEES
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Proprietary Identifiers Ever Reported
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Identifier #1
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Identifier Code | 103700838
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Identifier Type | OTHER
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Identifier State | PA
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Identifier Issuer | REQUEST FOR ASSIGNMENT OF FEES
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