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General NPI Number Information
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NPI Number | 1740757616
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Entity Type | Organization
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Legal Business Name | 2 RT SERVICES, LLC
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Dates
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Enumeration Date | 10/30/2018
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 1303 N TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34236-2432
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Country | US
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Telephone | 941-402-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 3405 CHESTERTOWN LOOP
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City | BRADENTON
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State | FL
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Zip | 34211-3403
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Country | US
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Telephone | 941-402-7800
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Fax |
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Authorized Official
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Title or Position | D.O.
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Name | REGINA TRAVIS
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Credential |
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Telephone | 941-402-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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