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General NPI Number Information
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NPI Number | 1124402219
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Entity Type | Organization
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Legal Business Name | SHERBURNE & NORTHERN WRIGHT SPECIAL EDUCATION COOPERATIVE
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Dates
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Enumeration Date | 07/17/2015
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Last Update Date | 11/10/2020
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Provider Practice Location Address
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Address Line | 302 WASHINGTON STREET
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City | MONTICELLO
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State | MN
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Zip | 55362
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Country | US
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Telephone | 763-272-2050
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Fax | 763-272-2059
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Provider Business Mailing Address
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Address Line | 302 WASHINGTON STREET
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City | MONTICELLO
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State | MN
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Zip | 55362
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Country | US
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Telephone | 763-272-2050
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Fax | 763-272-2059
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Authorized Official
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Title or Position | DIRECTOR OF SPECIAL EDUCATION
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Name | HEIDI NISTLER
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Credential |
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Telephone | 763-272-2051
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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 | MN
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