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General NPI Number Information
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NPI Number | 1811875123
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Entity Type | Individual
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Provider Name | ZACHARY SKELTON PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 5207 AIRLINE DR, 2ND FLOOR
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City | HOUSTON
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State | TX
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Zip | 77022-1953
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Country | US
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Telephone | 713-691-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 TAYLOR ST APT 221
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City | HOUSTON
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State | TX
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Zip | 77007-4399
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Country | US
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Telephone | 512-496-9872
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 1407238
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License Number State | TX
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