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General NPI Number Information
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NPI Number | 1972180842
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Entity Type | Individual
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Provider Name | LILLIE ALON SKALKA LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/26/2021
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 9071 MILL CREEK RD APT 2917
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City | LEVITTOWN
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State | PA
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Zip | 19054-4238
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Country | US
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Telephone | 267-306-1926
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Fax |
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Provider Business Mailing Address
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Address Line | 9071 MILL CREEK RD APT 2917
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City | LEVITTOWN
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State | PA
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Zip | 19054-4238
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Country | US
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Telephone | 267-566-7515
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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 | SW136812
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | CW024263
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License Number State | PA
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