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General NPI Number Information
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NPI Number | 1063814184
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Entity Type | Organization
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Legal Business Name | SOUTHEAST NEIGHBORHOOD SCHOOL OF EXCELLENCE, INC.
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Dates
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Enumeration Date | 09/19/2014
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Last Update Date | 09/19/2014
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Provider Practice Location Address
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Address Line | 1601 BARTH AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46203-2743
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Country | US
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Telephone | 317-423-0204
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Fax | 317-631-4401
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Provider Business Mailing Address
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Address Line | 1601 BARTH AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46203-2743
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Country | US
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Telephone | 317-423-0204
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Fax | 317-631-4401
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Authorized Official
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Title or Position | HEAD OF SCHOOL
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Name | DR. KRISTIE SWEENEY
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Credential |
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Telephone | 317-423-0204
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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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