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General NPI Number Information
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NPI Number | 1447655436
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Entity Type | Organization
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Legal Business Name | ADVANCED INSTITUTE FOR DEVELOPMENT AND LEARNING
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Dates
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Enumeration Date | 11/03/2014
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Last Update Date | 12/22/2014
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Provider Practice Location Address
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Address Line | 545 VERDAE BLVD SUITE B
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City | GREENVILLE
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State | SC
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Zip | 29607-4021
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Country | US
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Telephone | 864-679-8606
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Fax | 864-679-8608
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Provider Business Mailing Address
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Address Line | 8811 WARREN H ABERNATHY HWY
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City | SPARTANBURG
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State | SC
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Zip | 29301-1228
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Country | US
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Telephone | 864-574-7282
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Fax | 864-574-7664
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Authorized Official
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Title or Position | CHAIRMAN OF THE BOARD
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Name | MR. ANDREW HARTLEY
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Credential |
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Telephone | 864-809-2956
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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 |
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License Number State |
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