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NPI 1205983723

NPI 1205983723 : SCHROON LAKE CENTRAL SCHOOL : SCHROON LAKE, NY

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General NPI Number Information
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    NPI Number           |    1205983723
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    Entity Type          |    Organization 
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    Legal Business Name  |    SCHROON LAKE CENTRAL SCHOOL 
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Dates
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    Enumeration Date     |    01/05/2007
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    Last Update Date     |    03/03/2009
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Provider Practice Location Address
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    Address Line         |    1125 U.S. ROUTE 9 
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    City                 |    SCHROON LAKE
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    State                |    NY
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    Zip                  |    12870-0338
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    Country              |    US
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    Telephone            |    518-532-7164
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    Fax                  |    518-532-0284
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Provider Business Mailing Address
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    Address Line         |    1125 U.S. ROUTE 9 
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    City                 |    SCHROON LAKE
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    State                |    NY
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    Zip                  |    12870-0338
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    Country              |    US
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    Telephone            |    518-532-7164
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    Fax                  |    518-532-0284
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Authorized Official
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    Title or Position    |    SUPERINTENDENT OF SCHOOLS
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    Name                 |    MR. MICHAEL S BONNEWELL 
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    Credential           |    
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    Telephone            |    518-532-7164
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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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