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General NPI Number Information
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NPI Number | 1700159209
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Entity Type | Organization
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Legal Business Name | NEURO-ASSISTIVE EDUCATIONAL SOLUTIONS
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Dates
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Enumeration Date | 02/14/2012
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Last Update Date | 02/14/2012
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Provider Practice Location Address
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Address Line | 4737 S SEMINOLE DR
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-4641
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Country | US
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Telephone | 770-298-5094
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7042
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City | DOUGLASVILLE
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State | GA
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Zip | 30154-0035
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Country | US
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Telephone | 770-298-5094
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Fax |
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | MR. CHRISTOPHER KIRK RAINES
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Credential | EMBA
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Telephone | 770-298-5094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225500000X
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Taxonomy Name | Respiratory/Developmental/Rehabilitative Specialist/Technologist
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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 | 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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Taxonomy #3
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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 #4
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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