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General NPI Number Information
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NPI Number | 1639787930
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Entity Type | Individual
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Provider Name | SKYLER MCCORMICK DC
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Gender | Male
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Dates
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Enumeration Date | 07/22/2020
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | 649 S GULPH RD
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-3704
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Country | US
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Telephone | 610-906-9784
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Fax |
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Provider Business Mailing Address
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Address Line | 649 S GULPH RD
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-3704
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Country | US
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Telephone | 610-906-9784
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC011559
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License Number State | PA
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