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General NPI Number Information
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NPI Number | 1982166849
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Entity Type | Organization
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Legal Business Name | BEYOND EARLY INTERVENTION
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Dates
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Enumeration Date | 04/01/2019
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Last Update Date | 04/01/2019
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Provider Practice Location Address
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Address Line | 254 CORLEY MILL RD
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City | LEXINGTON
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State | SC
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Zip | 29072-9471
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Country | US
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Telephone | 803-665-7063
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Fax | 803-490-1191
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Provider Business Mailing Address
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Address Line | 254 CORLEY MILL RD
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City | LEXINGTON
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State | SC
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Zip | 29072-9471
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Country | US
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Telephone | 803-447-8449
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Fax |
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Authorized Official
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Title or Position | OWNER/EXECUTIVE DIRECTOR
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Name | MRS. SUZANNE ENGLISH
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Credential |
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Telephone | 803-447-8449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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