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General NPI Number Information
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NPI Number | 1730033853
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Entity Type | Organization
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Legal Business Name | RANGE REHAB LLC
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Dates
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Enumeration Date | 02/25/2026
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 1975 HIGHWAY 54 W STE 210
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-4794
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Country | US
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Telephone | 803-467-6287
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Fax | 770-487-6717
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Provider Business Mailing Address
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Address Line | 1424 BOB SMITH RD
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City | SHARPSBURG
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State | GA
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Zip | 30277-3160
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Country | US
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Telephone | 803-467-6287
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Fax | 770-487-6717
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN BENJAMIN ANDERSON
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Credential | DPT
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Telephone | 803-467-6287
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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 |
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License Number State |
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