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General NPI Number Information
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NPI Number | 1700537917
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Entity Type | Organization
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Legal Business Name | SKY CARE OT LLC
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Dates
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Enumeration Date | 01/10/2022
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 1776 AVENUE OF THE STATES STE 301
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4592
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Country | US
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Telephone | 800-604-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 1776 AVENUE OF THE STATES
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4591
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. YAKOV MERLING
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Credential |
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Telephone | 800-604-2273
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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