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NPI 1477090512

NPI 1477090512 : TINDLEY ACCELERATED SCHOOLS : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1477090512
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    Entity Type          |    Organization 
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    Legal Business Name  |    TINDLEY ACCELERATED SCHOOLS 
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Dates
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    Enumeration Date     |    01/27/2017
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    Last Update Date     |    01/27/2017
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Provider Practice Location Address
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    Address Line         |    4020 MEADOWS PKWY 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46205-2984
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    Country              |    US
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    Telephone            |    317-777-7740
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    Fax                  |    317-377-1435
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Provider Business Mailing Address
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    Address Line         |    3960 MEADOWS DR 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46205-3114
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    Country              |    US
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    Telephone            |    317-545-1745
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    Fax                  |    317-547-4323
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     KELLI B MARSHALL 
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    Credential           |    
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    Telephone            |    317-545-1745
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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       |    9940
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    License Number State |    IN
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