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General NPI Number Information
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NPI Number | 1023275302
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Entity Type | Organization
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Legal Business Name | PENNSYLVANIA VIRTUAL CHARTER SCHOOL
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 1 W MAIN ST SUITE 400
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City | NORRISTOWN
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State | PA
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Zip | 19401-4766
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Country | US
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Telephone | 610-275-8501
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Fax | 610-275-1719
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Provider Business Mailing Address
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Address Line | 1 W MAIN ST SUITE 400
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City | NORRISTOWN
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State | PA
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Zip | 19401-4766
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Country | US
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Telephone | 610-275-8501
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Fax | 610-275-1719
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Authorized Official
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Title or Position | RELATED SERVICE COORDINATOR
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Name | KIM COOK
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Credential |
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Telephone | 610-275-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | PA
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