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General NPI Number Information
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NPI Number | 1013104694
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Entity Type | Organization
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Legal Business Name | OAK GROVE R-6 SCHOOL DISTR
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 06/14/2016
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Provider Practice Location Address
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Address Line | 1305 SE SALEM ST
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City | OAK GROVE
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State | MO
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Zip | 64075-7044
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Country | US
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Telephone | 816-690-4156
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Fax | 816-690-3031
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Provider Business Mailing Address
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Address Line | 601 SE 12TH ST
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City | OAK GROVE
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State | MO
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Zip | 64075-9392
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Country | US
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Telephone | 816-690-4156
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Fax | 816-690-3031
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Authorized Official
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Title or Position | DISTRICT COORDINATOR
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Name | LORI BERRY
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Credential |
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Telephone | 816-690-4156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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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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