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General NPI Number Information
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NPI Number | 1205339702
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Entity Type | Organization
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Legal Business Name | REGIONAL SCHOOL DISTRICT #10
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Dates
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Enumeration Date | 03/12/2018
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Last Update Date | 03/12/2018
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Provider Practice Location Address
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Address Line | 24 LYON RD
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City | BURLINGTON
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State | CT
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Zip | 06013-1330
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Country | US
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Telephone | 860-673-6195
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Fax |
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Provider Business Mailing Address
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Address Line | 24 LYON RD
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City | BURLINGTON
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State | CT
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Zip | 06013-1330
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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 | SENIOR SECRETARY
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Name | ALLYSON MACKIEWICZ
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Credential |
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Telephone | 860-673-6195
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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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Taxonomy #2
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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 | CT
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