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General NPI Number Information
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NPI Number | 1073648267
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Entity Type | Organization
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Legal Business Name | JESSAMINE COUNTY BOARD OF EDUCATION
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 871 WILMORE RD
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City | NICHOLASVILLE
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State | KY
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Zip | 40356-9462
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Country | US
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Telephone | 859-885-4179
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Fax | 859-881-5649
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Provider Business Mailing Address
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Address Line | 871 WILMORE ROAD
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City | NICHOLASVILL
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State | KY
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Zip | 40356
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Country | US
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Telephone | 859-885-4179
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Fax | 859-881-5649
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Authorized Official
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Title or Position | DIRECTOR OF SPECIAL EDUCATION
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Name | MR. MATHEW MOORE
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Credential |
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Telephone | 859-885-4179
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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 | 2105701300
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License Number State | KY
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