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General NPI Number Information
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NPI Number | 1235378977
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Entity Type | Organization
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Legal Business Name | LAKE LOCAL SCHOOL DISTRICT
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Dates
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Enumeration Date | 02/19/2009
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 436 KING CHURCH AVE SW
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City | UNIONTOWN
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State | OH
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Zip | 44685
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Country | US
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Telephone | 330-877-4280
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Fax | 330-877-4754
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Provider Business Mailing Address
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Address Line | 436 KING CHURCH AVE SW
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City | UNIONTOWN
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State | OH
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Zip | 44685
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Country | US
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Telephone | 330-877-9383
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Fax | 330-877-4754
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Authorized Official
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Title or Position | TREASURER
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Name | NICOLE NICHOLS III
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Credential |
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Telephone | 330-877-9383
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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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