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General NPI Number Information
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NPI Number | 1124040266
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Entity Type | Individual
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Provider Name | MARK D SKYIEPAL MD
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 2258 WRIGHTSBORO RD STE 170
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City | AUGUSTA
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State | GA
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Zip | 30904-4788
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Country | US
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Telephone | 706-481-7947
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Fax |
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Provider Business Mailing Address
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Address Line | 791 N HIGHWAY 77 STE 501C
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City | WAXAHACHIE
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State | TX
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Zip | 75165-1985
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Country | US
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Telephone | 888-558-5756
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Fax | 888-558-5754
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | J1570
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD61639297
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 109963
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2334
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | J1570
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License Number State | TX
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