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General NPI Number Information
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NPI Number | 1982525119
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Entity Type | Organization
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Legal Business Name | S R HOLDINGS LLC
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 101 DEVANT ST STE 402
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-2713
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Country | US
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Telephone | 770-719-3110
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Fax | 770-719-3109
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Provider Business Mailing Address
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Address Line | 101 DEVANT ST STE 402
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-2713
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Country | US
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Telephone | 770-719-3110
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Fax | 770-719-3109
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Authorized Official
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Title or Position | CEO
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Name | SEAN HARPER
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Credential | CO
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Telephone | 770-853-0860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Z00000X
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Taxonomy Name | Orthotist
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License Number |
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License Number State |
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