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General NPI Number Information
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NPI Number | 1831047711
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Entity Type | Organization
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Legal Business Name | RESPECT THE DRIP IV HYDRATION LLC
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 619 HERRELL RD
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City | VILLA RICA
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State | GA
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Zip | 30180-4544
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Country | US
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Telephone | 770-615-6376
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Fax |
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Provider Business Mailing Address
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Address Line | 619 HERRELL RD
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City | VILLA RICA
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State | GA
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Zip | 30180-4544
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Country | US
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Telephone | 770-615-6376
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LOGAN TEAL
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Credential | NRP
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Telephone | 770-527-3729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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