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General NPI Number Information
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NPI Number | 1235411067
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Entity Type | Organization
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Legal Business Name | ISD #534 STEWARTVILLE PUBLIC SCHOOLS
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Dates
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Enumeration Date | 09/19/2011
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Last Update Date | 09/19/2011
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Provider Practice Location Address
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Address Line | 440 6TH AVE SW
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City | STEWARTVILLE
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State | MN
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Zip | 55976-1712
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Country | US
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Telephone | 507-533-1438
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Fax |
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Provider Business Mailing Address
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Address Line | 440 6TH AVE SW
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City | STEWARTVILLE
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State | MN
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Zip | 55976-1712
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Country | US
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Telephone | 507-533-1438
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Fax |
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Authorized Official
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Title or Position | SUPERINTENDENT OF SCHOOLS
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Name | DR. DAVID THOMPSON
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Credential |
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Telephone | 507-533-1437
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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 | R998160537926
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License Number State | MN
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