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General NPI Number Information
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NPI Number | 1073859146
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Entity Type | Organization
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Legal Business Name | METROPOLITAN SCHOOL DISTRICT OF PERRY TOWNSHIP
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Dates
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Enumeration Date | 12/18/2012
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Last Update Date | 12/18/2012
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Provider Practice Location Address
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Address Line | 6548 ORINOCO AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-4820
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Country | US
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Telephone | 317-789-3761
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Fax | 317-780-4752
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Provider Business Mailing Address
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Address Line | 6548 ORINOCO AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-4820
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Country | US
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Telephone | 317-789-3761
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Fax | 317-780-4752
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. J. MICHAEL BAGLEY
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Credential |
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Telephone | 317-789-3761
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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 | 5340
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License Number State | IN
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