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General NPI Number Information
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NPI Number | 1164629564
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Entity Type | Organization
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Legal Business Name | LEILA L. HARTLEY, PH.D. & ASSOCIATES, INC.
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 11/08/2007
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Provider Practice Location Address
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Address Line | 245 W WIEUCA RD NE SUITE 150
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City | ATLANTA
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State | GA
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Zip | 30342-3321
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Country | US
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Telephone | 404-812-9875
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Fax | 404-812-1979
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Provider Business Mailing Address
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Address Line | PO BOX 19037
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City | ATLANTA
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State | GA
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Zip | 31126-1037
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Country | US
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Telephone | 404-812-9875
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Fax | 404-812-1979
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LEILA L. HARTLEY
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Credential | PH.D.
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Telephone | 404-812-9875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP003516
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License Number State | GA
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