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General NPI Number Information
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NPI Number | 1033122171
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Entity Type | Individual
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Provider Name | SUSANA LIBHABER SKUKALEK NP-C
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Gender | Female
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | THE EMORY CLINIC DEPT OF NEUROSURGERY 1365B CLIFTON RD SUITE 2200
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City | ATLANTA
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State | GA
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Zip | 30322-0001
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Country | US
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Telephone | 404-778-5770
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Fax | 404-778-3279
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Provider Business Mailing Address
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Address Line | 845 DREWRY ST NE
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City | ATLANTA
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State | GA
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Zip | 30306-3718
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Country | US
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Telephone | 404-931-3757
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Fax | 404-778-3279
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN144854
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License Number State | GA
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