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General NPI Number Information
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NPI Number | 1174856660
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Entity Type | Organization
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Legal Business Name | USD#406 WATHENA
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 09/15/2009
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Provider Practice Location Address
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Address Line | 121 E COMMERCIAL
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City | WATERVILLE
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State | KS
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Zip | 66548-0089
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Country | US
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Telephone | 785-989-4427
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Fax |
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Provider Business Mailing Address
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Address Line | 705 JESSE STREET
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City | WATHENA
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State | KS
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Zip | 66090-0038
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Country | US
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Telephone | 785-989-4427
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Fax |
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MR. MIKE NEWMAN
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Credential |
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Telephone | 785-989-4427
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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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