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General NPI Number Information
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NPI Number | 1215069802
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Entity Type | Organization
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Legal Business Name | RGS HOLDINGS, INC
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Dates
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Enumeration Date | 03/10/2007
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Last Update Date | 12/31/2019
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Provider Practice Location Address
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Address Line | 2001 CHURCH LANE
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City | VILLA RICA
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State | GA
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Zip | 30180
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Country | US
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Telephone | 770-459-6533
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Fax | 770-462-1260
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Provider Business Mailing Address
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Address Line | 2001 CHURCH LANE
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City | VILLA RICA
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State | GA
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Zip | 30180
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Country | US
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Telephone | 770-459-6533
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Fax | 770-462-1260
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHARON GAITER
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Credential | OT
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Telephone | 770-459-6533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT005820
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT008045
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT006034
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT001137
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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