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General NPI Number Information
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NPI Number | 1346975307
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Entity Type | Organization
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Legal Business Name | RIGHTSITE HEALTH (CT), PLLC
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Dates
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Enumeration Date | 07/22/2022
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Last Update Date | 07/22/2022
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Provider Practice Location Address
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Address Line | 120 AUSTIN HWY STE 105
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City | SAN ANTONIO
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State | TX
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Zip | 78209-5339
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Country | US
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Telephone | 404-821-8421
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Fax |
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Provider Business Mailing Address
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Address Line | 120 AUSTIN HWY STE 105
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City | SAN ANTONIO
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State | TX
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Zip | 78209-5339
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | MATT SEDGWICK
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Credential |
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Telephone | 404-821-8421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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