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General NPI Number Information
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NPI Number | 1669555660
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Entity Type | Organization
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Legal Business Name | RHD HEALTHCARE LLC
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 09/14/2007
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Provider Practice Location Address
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Address Line | 5593 FORKWOOD DR NW
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City | ACWORTH
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State | GA
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Zip | 30101-8011
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Country | US
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Telephone | 404-642-5497
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Fax | 777-919-1752
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Provider Business Mailing Address
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Address Line | 5593 FORKWOOD DR NW
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City | ACWORTH
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State | GA
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Zip | 30101-8011
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Country | US
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Telephone | 404-642-5497
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Fax | 777-919-1752
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. TINA RIGDON
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Credential |
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Telephone | 678-838-1585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT006310
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License Number State | GA
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