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General NPI Number Information
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NPI Number | 1154686285
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Entity Type | Organization
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Legal Business Name | LEARNING TREE LITERACY INC
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Dates
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Enumeration Date | 07/04/2012
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Last Update Date | 07/29/2013
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Provider Practice Location Address
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Address Line | 4 LEISURE LOOP
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City | WEAVERVILLE
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State | NC
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Zip | 28787-9008
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Country | US
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Telephone | 773-301-5214
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Fax | 888-972-1792
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Provider Business Mailing Address
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Address Line | 4 LEISURE LOOP
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City | WEAVERVILLE
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State | NC
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Zip | 28787-9008
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Country | US
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Telephone | 773-301-5214
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Fax | 888-972-1792
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. STACEY ANN CROWLEY
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Credential | MA, SLP-CCC/L
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Telephone | 773-301-5214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 9807
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 9807
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License Number State | NC
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