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General NPI Number Information
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NPI Number | 1093825333
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Entity Type | Individual
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Provider Name | RITA JERATH MD
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 1447 HARPER STREET MEDICAL OFFICE BUILDING 3D
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City | AUGUSTA
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State | GA
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Zip | 30912-0004
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Country | US
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Telephone | 706-721-4919
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Fax |
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Provider Business Mailing Address
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Address Line | 1499 WALTON WAY STE 1400
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City | AUGUSTA
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State | GA
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Zip | 30901-2602
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Country | US
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Telephone | 706-828-8402
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 22937
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2080P0216X
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Taxonomy Name | Pediatric Rheumatology Physician
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License Number | 022937
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License Number State | GA
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