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General NPI Number Information
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NPI Number | 1740872555
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Entity Type | Individual
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Provider Name | KEVIN A SKILES CMHC STUDENT
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Gender | Male
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Dates
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Enumeration Date | 02/04/2021
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 34011 WESCOATS RD UNIT 1B
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City | LEWES
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State | DE
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Zip | 19958-4918
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Country | US
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Telephone | 301-304-7108
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Fax |
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Provider Business Mailing Address
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Address Line | 3038 BROOKSTONE DR
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City | CANONSBURG
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State | PA
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Zip | 15317-3909
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Country | US
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Telephone | 808-347-8525
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Fax | 724-503-6345
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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