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General NPI Number Information
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NPI Number | 1013433143
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Entity Type | Organization
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Legal Business Name | ADAPTIVE LEARNING INSTITUTE
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Dates
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Enumeration Date | 08/21/2017
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Last Update Date | 08/21/2017
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Provider Practice Location Address
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Address Line | 1525 CRANE RD
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City | WAXHAW
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State | NC
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Zip | 28173-8557
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Country | US
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Telephone | 704-843-6311
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Fax |
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Provider Business Mailing Address
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Address Line | 532 SHORT ST SW
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City | CONCORD
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State | NC
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Zip | 28027-6425
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Country | US
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Telephone | 704-771-5282
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SYRONDA MCCORKLE ARMSTRONG
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Credential |
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Telephone | 704-771-5282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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