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General NPI Number Information
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NPI Number | 1356835581
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Entity Type | Organization
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Legal Business Name | ABADVANTAGE LLC
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 02/02/2025
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Provider Practice Location Address
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Address Line | 4729 PEACHTREE INDUSTRIAL BLVD STE 300
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City | BERKELEY LAKE
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State | GA
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Zip | 30092-3023
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Country | US
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Telephone | 470-719-8976
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Fax |
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Provider Business Mailing Address
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Address Line | 3329 HILLSIDE LINKS DR
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City | SNELLVILLE
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State | GA
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Zip | 30039-4749
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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 | OWNER
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Name | MR. ADNER COLON
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Credential |
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Telephone | 973-883-5850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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