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General NPI Number Information
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NPI Number | 1164340816
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Entity Type | Organization
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Legal Business Name | LIZA D. SPRATLING, LLC
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Dates
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Enumeration Date | 07/09/2026
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Last Update Date | 07/09/2026
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Provider Practice Location Address
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Address Line | 2357 GA HIGHWAY 88
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City | HEPHZIBAH
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State | GA
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Zip | 30815-4630
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Country | US
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Telephone | 706-592-9551
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 263
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City | HEPHZIBAH
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State | GA
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Zip | 30815-0263
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Country | US
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Telephone | 706-834-5045
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LIZA DELL SPRATLING
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Credential |
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Telephone | 706-834-5045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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