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General NPI Number Information
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NPI Number | 1881510451
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Entity Type | Individual
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Provider Name | SKYLAR S SUNDER
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Gender | Female
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 33 N MAIN ST STE 100
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City | PITTSTON
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State | PA
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Zip | 18640-1949
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Country | US
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Telephone | 570-208-2787
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Fax |
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Provider Business Mailing Address
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Address Line | 37 1/2 5TH ST
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City | WYOMING
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State | PA
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Zip | 18644-2137
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Country | US
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Telephone | 570-266-1857
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | TEI006644
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License Number State | PA
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