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General NPI Number Information
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NPI Number | 1750813192
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Entity Type | Organization
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Legal Business Name | AMERICAN LEADERSHIP ACADEMY, INC.
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Dates
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Enumeration Date | 04/03/2017
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Last Update Date | 04/03/2017
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Provider Practice Location Address
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Address Line | 19935 E CHANDLER HEIGHTS RD
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-9350
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Country | US
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Telephone | 480-420-2131
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Fax |
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Provider Business Mailing Address
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Address Line | 19935 E CHANDLER HEIGHTS RD
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-9350
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Country | US
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Telephone | 480-420-2131
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | SCOTT JENSEN
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Credential |
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Telephone | 480-420-2131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number |
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License Number State |
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