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General NPI Number Information
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NPI Number | 1871819060
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Entity Type | Individual
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Provider Name | PHILIP T SKLAW LCSW, BCBA
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Gender | Male
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Dates
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Enumeration Date | 04/13/2010
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 8001 BEATY GROVE DR
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City | TAMPA
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State | FL
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Zip | 33626-1602
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Country | US
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Telephone | 813-926-5454
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Fax |
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Provider Business Mailing Address
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Address Line | 5743 YORKSHIRE LN
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City | PALM HARBOR
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State | FL
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Zip | 34685-3141
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Country | US
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Telephone | 516-551-5443
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 076163
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 080493
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-21-53068
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License Number State | FL
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