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General NPI Number Information
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NPI Number | 1306168646
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Entity Type | Organization
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Legal Business Name | ELIZABETHTOWN IND. SCHOOL SYSTEM
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Dates
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Enumeration Date | 02/26/2010
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 701 HAWKINS DR
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-1041
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Country | US
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Telephone | 270-765-6146
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Fax |
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Provider Business Mailing Address
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Address Line | 219 HELM ST
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-1511
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Country | US
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Telephone | 270-765-6146
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Fax |
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MR. JOHN BALLARD
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Credential |
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Telephone | 270-765-2158
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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 | KY
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Taxonomy #2
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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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