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General NPI Number Information
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NPI Number | 1275712804
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Entity Type | Organization
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Legal Business Name | WATERLOO 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 | 813 N MONROE ST
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City | WATERLOO
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State | WI
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Zip | 53594-1171
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Country | US
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Telephone | 920-478-3633
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Fax | 920-478-3821
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Provider Business Mailing Address
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Address Line | 813 N MONROE ST
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City | WATERLOO
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State | WI
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Zip | 53594-1171
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Country | US
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Telephone | 920-478-3633
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Fax | 920-478-3821
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Authorized Official
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Title or Position | DISTRICT ADMINISTRATOR
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Name | MRS. CONNIE L. SCHIESTL
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Credential |
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Telephone | 920-478-3633
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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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