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General NPI Number Information
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NPI Number | 1982543211
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Entity Type | Organization
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Legal Business Name | RESURGENS, LLC
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 1839 BUFORD HWY # 200
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City | BUFORD
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State | GA
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Zip | 30518-3672
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Country | US
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Telephone | 770-904-1250
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Fax | 770-904-1251
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Provider Business Mailing Address
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Address Line | PO BOX 21068
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City | BELFAST
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State | ME
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Zip | 04915-4107
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ANCILLARY OPERATIONS EXECUTIVE ASST
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Name | BOBBI REVETTI
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Credential |
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Telephone | 404-575-4901
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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