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General NPI Number Information
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NPI Number | 1932551553
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Entity Type | Individual
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Provider Name | SKYLER STEIN OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/07/2016
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Last Update Date | 12/08/2016
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Provider Practice Location Address
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Address Line | 3349 HIGHWAY 138 # A BUILDING B SUIT A
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City | WALL TOWNSHIP
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State | NJ
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Zip | 07719-9671
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Country | US
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Telephone | 732-761-0302
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Fax |
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Provider Business Mailing Address
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Address Line | 3349 HIGHWAY 138 EAST BUILDING B SUITE A ALLAIR CORPORATE CENTER
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City | WALL
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State | NJ
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Zip | 07719
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Country | US
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Telephone | 732-280-6050
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 46TR00741500
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License Number State | NJ
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