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General NPI Number Information
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NPI Number | 1497998827
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Entity Type | Individual
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Provider Name | LAURIE ANN SKUTCH PT
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Gender | Female
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Dates
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Enumeration Date | 04/15/2009
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Last Update Date | 12/01/2024
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Provider Practice Location Address
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Address Line | 514 ORCHARD ST
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City | PORTAGE
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State | PA
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Zip | 15946-1626
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Country | US
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Telephone | 814-421-2754
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Fax | 814-736-8039
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Provider Business Mailing Address
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Address Line | 514 ORCHARD ST
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City | PORTAGE
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State | PA
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Zip | 15946-1626
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Country | US
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Telephone | 814-421-2754
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Fax | 814-736-8039
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT013478L
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License Number State | PA
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