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General NPI Number Information
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NPI Number | 1689457236
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Entity Type | Organization
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Legal Business Name | PEACH STATE LEARNING SOLUTIONS INC
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Dates
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Enumeration Date | 08/17/2023
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 1700 WATER PL SE STE 30
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City | ATLANTA
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State | GA
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Zip | 30339-2006
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Country | US
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Telephone | 714-537-9545
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 WATER PL SE STE 30
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City | ATLANTA
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State | GA
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Zip | 30339-2006
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Country | US
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Telephone | 714-537-9545
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Fax |
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Authorized Official
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Title or Position | BILLING ADMIN
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Name | STACIE HARTSFIELD
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Credential |
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Telephone | 386-884-9900
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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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