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General NPI Number Information
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NPI Number | 1821509886
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Entity Type | Organization
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Legal Business Name | THE LIONHEART SCHOOL, INC.
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Dates
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Enumeration Date | 10/18/2017
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Last Update Date | 10/18/2017
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Provider Practice Location Address
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Address Line | 225 ROSWELL ST
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City | ALPHARETTA
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State | GA
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Zip | 30009-1933
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Country | US
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Telephone | 770-772-4555
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Fax | 770-772-1871
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Provider Business Mailing Address
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Address Line | 225 ROSWELL ST
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City | ALPHARETTA
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State | GA
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Zip | 30009-1933
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Country | US
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Telephone | 770-772-4555
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Fax | 770-772-1871
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Authorized Official
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Title or Position | CEO/BOARD MEMBER
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Name | MR. TAMARA SPAFFORD
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Credential | M.ED
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Telephone | 770-772-4555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | GA
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Taxonomy #3
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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 | GA
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Taxonomy #4
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | GA
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