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General NPI Number Information
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NPI Number | 1073318531
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Entity Type | Organization
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Legal Business Name | RT4LIFE
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 1660 FLAGSTONE LN
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City | CONYERS
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State | GA
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Zip | 30012-6509
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Country | US
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Telephone | 770-598-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 1660 FLAGSTONE LN
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City | CONYERS
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State | GA
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Zip | 30012-6509
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Country | US
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Telephone | 770-598-2800
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | LISA ANN MARIA
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Credential | RCP
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Telephone | 770-598-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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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 | 2278H0200X
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Taxonomy Name | Home Health Certified Respiratory Therapist
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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 | 2278P1004X
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Taxonomy Name | Pulmonary Diagnostics Certified Respiratory Therapist
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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 | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2278G1100X
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Taxonomy Name | General Care Certified Respiratory Therapist
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License Number |
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License Number State |
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