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General NPI Number Information
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NPI Number | 1457231102
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Entity Type | Organization
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Legal Business Name | R AND R COUNTRY ESTATES
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 1545 OXFORD RD
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City | CULLODEN
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State | GA
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Zip | 31016-5904
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Country | US
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Telephone | 478-733-0504
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Fax |
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Provider Business Mailing Address
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Address Line | 1545 OXFORD RD
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City | CULLODEN
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State | GA
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Zip | 31016-5904
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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 | BUSINESS MANAGER
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Name | REBECCA BOGLE
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Credential |
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Telephone | 478-733-0504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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