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General NPI Number Information
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NPI Number | 1124141445
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Entity Type | Organization
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Legal Business Name | SOUTHEASTERN REGIONAL VOC TECH HS
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 250 FOUNDRY ST
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City | SOUTH EASTON
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State | MA
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Zip | 02375-1780
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Country | US
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Telephone | 508-230-1283
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Fax |
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Provider Business Mailing Address
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Address Line | 250 FOUNDRY ST
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City | SOUTH EASTON
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State | MA
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Zip | 02375-1780
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COORDINATOR SPECIAL POPULATIONS
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Name | MARGARET DUTCH
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Credential |
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Telephone | 508-230-1208
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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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