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General NPI Number Information
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NPI Number | 1154260941
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Entity Type | Organization
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Legal Business Name | BOONE-WINNEBAGO REGIONAL OFFICE OF EDUCATION
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 1102 EVANS AVE
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City | MACHESNEY PARK
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State | IL
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Zip | 61115-2967
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Country | US
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Telephone | 779-771-6392
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Fax |
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Provider Business Mailing Address
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Address Line | 300 HEART BLVD
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City | LOVES PARK
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State | IL
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Zip | 61111-7516
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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 | REGIONAL SUPERINTENDENT
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Name | SCOTT BLOOMQUIST
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Credential |
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Telephone | 815-636-3060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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