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General NPI Number Information
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NPI Number | 1417587502
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Entity Type | Organization
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Legal Business Name | RINGGOLD TREATMENT CENTER LLC
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Dates
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Enumeration Date | 01/17/2020
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Last Update Date | 01/17/2020
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Provider Practice Location Address
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Address Line | 8292 HIGHWAY 41
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City | RINGGOLD
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State | GA
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Zip | 30736-2354
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Country | US
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Telephone | 706-952-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 181 CHAMPAGNE CIR
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City | RINGGOLD
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State | GA
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Zip | 30736-8095
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Country | US
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Telephone | 423-605-5055
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | VANESSA RUEHLMANN
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Credential |
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Telephone | 423-605-5055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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