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General NPI Number Information
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NPI Number | 1518851237
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Entity Type | Organization
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Legal Business Name | SKYLAND HI
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 2830 DRESDEN DR
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City | ATLANTA
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State | GA
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Zip | 30341-3920
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Country | US
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Telephone | 404-315-8333
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Fax |
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Provider Business Mailing Address
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Address Line | 1961 N DRUID HILLS RD NW
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City | BROOKHAVEN
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State | GA
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Zip | 30329
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PAYOR RELATIONS MANAGER
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Name | LORI LANGSTON
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Credential |
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Telephone | 470-816-9108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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