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General NPI Number Information
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NPI Number | 1255510855
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Entity Type | Organization
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Legal Business Name | WEYAUWEGA-FREMONT SCHOOL DISTRICT
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 410 E ANN ST
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City | WEYAUWEGA
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State | WI
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Zip | 54983-8532
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Country | US
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Telephone | 920-867-2148
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Fax | 920-867-2510
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Provider Business Mailing Address
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Address Line | 410 E ANN ST P.O. BOX 580
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City | WEYAUWEGA
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State | WI
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Zip | 54983-8532
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Country | US
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Telephone | 920-867-2148
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Fax | 920-867-2510
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Authorized Official
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Title or Position | SBS CONTACT
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Name | ALICE F PRILL
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Credential |
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Telephone | 920-867-2148
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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 | 44219400
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License Number State | WI
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