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General NPI Number Information
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NPI Number | 1467852723
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Entity Type | Organization
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Legal Business Name | PRAADA ACADEMY SCHOOLS
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Dates
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Enumeration Date | 08/23/2014
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Last Update Date | 08/23/2014
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Provider Practice Location Address
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Address Line | 367 THIRD AVE
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City | SCOTTDALE
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State | GA
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Zip | 30079-1717
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Country | US
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Telephone | 770-882-8183
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Fax |
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Provider Business Mailing Address
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Address Line | 367 THIRD AVE
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City | SCOTTDALE
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State | GA
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Zip | 30079-1717
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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 | DIRECTOR
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Name | SONYA ASEGIEME
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Credential | M.A.
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Telephone | 770-882-8183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 102X00000X
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Taxonomy Name | Poetry Therapist
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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