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General NPI Number Information
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NPI Number | 1023895794
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Entity Type | Organization
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Legal Business Name | ADELINE MONTESSORI SCHOOL, INC
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Dates
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Enumeration Date | 09/14/2023
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 995 S SAWYER RD
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City | OCONOMOWOC
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State | WI
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Zip | 53066-9243
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Country | US
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Telephone | 262-201-4492
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Fax |
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Provider Business Mailing Address
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Address Line | 995 S SAWYER RD
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City | OCONOMOWOC
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State | WI
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Zip | 53066-9243
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Country | US
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Telephone | 262-201-4492
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Fax |
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Authorized Official
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Title or Position | SPECIAL EDUCATION COORDINATOR
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Name | CASSIE MADUSCHA
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Credential |
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Telephone | 262-201-4492
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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 |
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