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General NPI Number Information
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NPI Number | 1801233515
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Entity Type | Organization
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Legal Business Name | 1ST CLASS LEARNING AND PERFORMING ARTS
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Dates
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Enumeration Date | 06/04/2013
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Last Update Date | 06/04/2013
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Provider Practice Location Address
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Address Line | 5474 PLATTE DR
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City | ELLENWOOD
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State | GA
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Zip | 30294
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Country | US
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Telephone | 770-572-3137
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Fax |
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Provider Business Mailing Address
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Address Line | 5474 PLATTE DR
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City | ELLENWOOD
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State | GA
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Zip | 30294-6667
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Country | US
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Telephone | 770-572-3137
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARLITA JONES
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Credential |
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Telephone | 770-572-3137
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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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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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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 | 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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