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General NPI Number Information
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NPI Number | 1972452860
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Entity Type | Organization
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Legal Business Name | EDUCATIONAL ADVANCEMENT GROUP
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Dates
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Enumeration Date | 01/24/2026
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Last Update Date | 01/24/2026
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Provider Practice Location Address
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Address Line | 1520 RIVERGLEN DR
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City | LOGANVILLE
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State | GA
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Zip | 30052-9012
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Country | US
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Telephone | 770-289-2302
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Fax |
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Provider Business Mailing Address
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Address Line | 1520 RIVERGLEN DR
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City | LOGANVILLE
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State | GA
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Zip | 30052-9012
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Country | US
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Telephone | 770-289-2302
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND CEO
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Name | DR. GRETCHEN J TORBERT
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Credential | PH.D.
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Telephone | 770-289-2302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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