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General NPI Number Information
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NPI Number | 1134499148
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Entity Type | Organization
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Legal Business Name | NORTHFIELD SCHOOL OF ARTS AND TECHNOLOGY
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Dates
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Enumeration Date | 01/06/2012
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Last Update Date | 01/06/2012
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Provider Practice Location Address
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Address Line | 1719 CANNON RD
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City | NORTHFIELD
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State | MN
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Zip | 55057-1680
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Country | US
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Telephone | 507-663-8806
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Fax | 507-663-8802
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Provider Business Mailing Address
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Address Line | 1719 CANNON RD
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City | NORTHFIELD
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State | MN
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Zip | 55057-1680
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Country | US
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Telephone | 507-663-8806
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Fax | 507-663-8802
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | REBECCA MCMULLEN
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Credential |
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Telephone | 507-663-8806
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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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