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General NPI Number Information
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NPI Number | 1053404541
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Entity Type | Organization
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Legal Business Name | MSD OF WARREN COUNTY
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 10/28/2015
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Provider Practice Location Address
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Address Line | 101 N MONROE STREET
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City | WILLIAMSPORT
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State | IN
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Zip | 47993
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Country | US
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Telephone | 765-762-3364
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Fax | 765-762-6623
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Provider Business Mailing Address
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Address Line | 101 N MONROE STREET PO BOX 207
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City | WILLIAMSPORT
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State | IN
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Zip | 47993
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Country | US
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Telephone | 765-762-3364
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Fax | 765-762-6623
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MR. RALPH SHRADER
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Credential |
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Telephone | 765-762-3364
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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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