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NPI Code Detail

MEDICARE: ACCELERATED LEARNING LAB LLC

MEDICARE: ACCELERATED LEARNING LAB LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1568798445
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCELERATED LEARNING LAB LLC
Provider Business Mailing Address
First Line : 2902 EMERSON AVE
Second Line :
City : PARKERSBURG
State : WV
Zip : 26104-2519
Country : US
Telephone Number : 304-834-3910
Fax Number : 304-834-3911
Provider Business Practice Location Address
First Line : 2902 EMERSON AVE
Second Line :
City : PARKERSBURG
State : WV
Zip : 26104-2519
Country : US
Telephone Number : 304-834-3910
Fax Number : 304-834-3911
Authorized Official
Title or Position : OWNER
Name : NANCY THOMAS
Credential :
Telephone Number : 304-834-3910
Provider Enumeration Date : 10/27/2009
Last Update Date : 10/27/2009

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Directions to “ACCELERATED LEARNING LAB LLC ” Practice Location

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