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General NPI Number Information
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NPI Number | 1649125295
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Entity Type | Individual
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Provider Name | MR. CLIFFORD BRANDON LE LANGLEY
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Gender | Male
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 79 HIGHWAY 286 UNIT B
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City | CHATSWORTH
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State | GA
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Zip | 30705-6501
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Country | US
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Telephone | 706-971-3757
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 VIEW DR UNIT 1102
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City | WOODSTOCK
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State | GA
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Zip | 30189-5290
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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 |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN-NP278773
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License Number State | GA
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