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NPI 1770228868

NPI 1770228868 : HIGHER LEARNING TUTORING SERVICES : JACKSONVILLE, FL

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General NPI Number Information
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    NPI Number           |    1770228868
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    Entity Type          |    Organization 
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    Legal Business Name  |    HIGHER LEARNING TUTORING SERVICES 
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Dates
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    Enumeration Date     |    05/03/2022
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    Last Update Date     |    05/03/2022
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Provider Practice Location Address
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    Address Line         |    6227 TERRY RD 
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32216-2112
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    Country              |    US
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    Telephone            |    904-631-3389
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6239 TERRY RD 
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32216-2112
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    Country              |    US
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    Telephone            |    904-631-3389
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    Fax                  |    904-508-8912
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. MELTONIA MARIE WRIGHT 
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    Credential           |    
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    Telephone            |    904-631-3389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251V00000X
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    Taxonomy Name        |    Voluntary or Charitable Agency
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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        |    302R00000X
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    Taxonomy Name        |    Health Maintenance Organization
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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