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General NPI Number Information
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NPI Number | 1437508066
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Entity Type | Organization
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Legal Business Name | THE OPTIMUS LITERACY INSTITUTE OF AMERICA, INC
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Dates
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Enumeration Date | 06/04/2016
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Last Update Date | 06/04/2016
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Provider Practice Location Address
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Address Line | 10952 COPPER HILL DR
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City | JACKSONVILLE
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State | FL
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Zip | 32218-4399
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Country | US
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Telephone | 904-607-9600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 23334
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City | JACKSONVILLE
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State | FL
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Zip | 32241-3334
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Country | US
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Telephone | 904-607-9600
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. KATHI VAUGHN-MALPRESS
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Credential |
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Telephone | 904-607-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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