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General NPI Number Information
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NPI Number | 1861376865
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Entity Type | Individual
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Provider Name | SKYLAR BRADY HAYES OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 211 WOOD THRUSH WAY
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City | SUMMERVILLE
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State | SC
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Zip | 29486-5335
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Country | US
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Telephone | 316-258-7196
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Fax |
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Provider Business Mailing Address
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Address Line | 356 WOODLAND SHORES RD
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City | CHARLESTON
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State | SC
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Zip | 29412-2423
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Country | US
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Telephone | 843-540-4238
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 7675
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License Number State | SC
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