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General NPI Number Information
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NPI Number | 1487598090
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Entity Type | Organization
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Legal Business Name | SKOTS GROUP LLC
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 408 RIDGE RD APT 11
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City | GREENBELT
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State | MD
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Zip | 20770-1629
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Country | US
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Telephone | 240-547-7015
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Fax |
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Provider Business Mailing Address
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Address Line | 408 RIDGE RD APT 11
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City | GREENBELT
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State | MD
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Zip | 20770-1629
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Country | US
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Telephone | 240-547-7015
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MRS. SIMSOLA IPAYE
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Credential |
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Telephone | 240-547-7015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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