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General NPI Number Information
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NPI Number | 1053406496
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Entity Type | Organization
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Legal Business Name | BARRY INTERMEDIATE SCHOOL DISTRICT
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 535 W WOODLAWN
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City | HASTINGS
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State | MI
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Zip | 49058
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Country | US
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Telephone | 269-945-9545
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Fax | 269-945-2575
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Provider Business Mailing Address
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Address Line | 535 W WOODLAWN
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City | HASTINGS
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State | MI
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Zip | 49058
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Country | US
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Telephone | 269-945-9545
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Fax | 269-945-2575
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Authorized Official
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Title or Position | SPECIAL EDUCATION DIRECTOR
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Name | MR. STEVE COLVER
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Credential |
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Telephone | 269-945-9545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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