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General NPI Number Information
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NPI Number | 1275659021
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Entity Type | Organization
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Legal Business Name | ROSEMONT SCHOOL DISTRICT 78
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6101 N RUBY ST
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City | ROSEMONT
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State | IL
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Zip | 60018
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Country | US
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Telephone | 847-825-0144
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Fax |
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Provider Business Mailing Address
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Address Line | 6101 N RUBY ST
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City | ROSEMONT
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State | IL
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Zip | 60018
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Country | US
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Telephone | 847-825-0144
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Fax |
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | KEVIN ANDERSON
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Credential | M.A. SCHOOL ADMINIST
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Telephone | 847-825-0144
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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 | IL
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