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General NPI Number Information
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NPI Number | 1023341559
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Entity Type | Organization
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Legal Business Name | ERIE-GALESBURG USD 101
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Dates
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Enumeration Date | 09/16/2009
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Last Update Date | 09/16/2009
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Provider Practice Location Address
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Address Line | 205 S MAIN ST
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City | ERIE
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State | KS
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Zip | 66733-1334
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Country | US
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Telephone | 620-244-3264
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Fax |
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Provider Business Mailing Address
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Address Line | 205 S MAIN ST
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City | ERIE
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State | KS
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Zip | 66733-1334
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Country | US
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Telephone | 620-244-3264
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Fax |
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | JOHN WYRICK
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Credential |
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Telephone | 620-244-3264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number | 261QS1000X
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License Number State | KS
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