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General NPI Number Information
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NPI Number | 1659132256
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Entity Type | Individual
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Provider Name | SKYLAR COPPINGER ACKERMAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 10 CLOVERLEAF DR
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City | CARTERSVILLE
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State | GA
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Zip | 30120-2178
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Country | US
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Telephone | 770-606-8026
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Fax |
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Provider Business Mailing Address
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Address Line | 2285 ASQUITH AVE SW
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City | MARIETTA
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State | GA
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Zip | 30008-6092
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Country | US
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Telephone | 770-485-1554
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Fax | 770-783-6775
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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