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General NPI Number Information
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NPI Number | 1285859793
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Entity Type | Organization
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Legal Business Name | STOUGHTON AREA SCHOOL DISTRICT
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 320 NORTH ST
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City | STOUGHTON
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State | WI
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Zip | 53589-1733
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Country | US
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Telephone | 608-877-5041
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Fax | 608-877-5038
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Provider Business Mailing Address
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Address Line | 320 NORTH ST
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City | STOUGHTON
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State | WI
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Zip | 53589-1733
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Country | US
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Telephone | 608-877-5041
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Fax | 608-877-5038
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Authorized Official
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Title or Position | DIRECTOR OF STUDENT SERVICES
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Name | MR. KURT A. SCHNEIDER
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Credential |
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Telephone | 608-877-5041
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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 | WI
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Legacy Identifiers
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Identifier #1
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Identifier Code | 44211300
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Identifier Type | MEDICAID
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Identifier State | WI
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Identifier Issuer |
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Proprietary Identifiers Ever Reported
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Identifier #1
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Identifier Code | 44211300
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Identifier Type | MEDICAID
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Identifier State | WI
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Identifier Issuer |
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