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General NPI Number Information
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NPI Number | 1235267048
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Entity Type | Organization
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Legal Business Name | BRIDGEPORT EXEMPTED VILLAGE SCHOOL DISTRICT
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 55707 INDUSTRIAL DR
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City | BRIDGEPORT
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State | OH
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Zip | 43912-1516
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Country | US
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Telephone | 740-635-0853
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Fax | 740-635-6008
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Provider Business Mailing Address
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Address Line | 55781 NATIONAL ROAD
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City | BRIDGEPORT
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State | OH
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Zip | 43912-1516
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Country | US
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Telephone | 740-635-1713
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Fax | 740-635-6003
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Authorized Official
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Title or Position | TREASURER
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Name | MRS. AMY J. PORTER
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Credential |
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Telephone | 740-635-1713
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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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