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General NPI Number Information
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NPI Number | 1962344374
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Entity Type | Organization
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Legal Business Name | REVIVE & THRIVE HEALTHCARE LLC
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 3343 PEACHTREE RD NE STE 180 A#A2083
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City | ATLANTA
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State | GA
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Zip | 30326-1085
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Country | US
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Telephone | 404-975-4219
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Fax |
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Provider Business Mailing Address
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Address Line | 3343 PEACHTREE RD NE STE 180 #A2083
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City | ATLANTA
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State | GA
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Zip | 30326-1085
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Country | US
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Telephone | 404-975-4219
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | CHATHAM CARTER
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Credential | OTR/L
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Telephone | 770-545-2184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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