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General NPI Number Information
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NPI Number | 1316328941
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Entity Type | Organization
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Legal Business Name | GLOBAL ACADEMY INC
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Dates
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Enumeration Date | 06/09/2015
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Last Update Date | 06/09/2015
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Provider Practice Location Address
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Address Line | 301 N 7TH ST WEST MEMPHIS
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City | WEST MEMPHIS
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State | AR
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Zip | 72301-3228
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Country | US
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Telephone | 901-690-6040
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Fax |
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Provider Business Mailing Address
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Address Line | 301 N 7TH ST WEST MEMPHIS
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City | WEST MEMPHIS
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State | AR
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Zip | 72301-3228
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Country | US
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Telephone | 901-690-6040
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. BOLAJI KEHINDE ARIGBEDE
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Credential |
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Telephone | 901-690-6040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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