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General NPI Number Information
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NPI Number | 1326398868
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Entity Type | Organization
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Legal Business Name | THE BLOOMINGTON PROJECT SCHOOL
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Dates
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Enumeration Date | 09/12/2012
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Last Update Date | 09/12/2012
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Provider Practice Location Address
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Address Line | 349 S WALNUT ST
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City | BLOOMINGTON
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State | IN
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Zip | 47401-3511
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Country | US
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Telephone | 812-558-0041
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Fax | 812-334-5873
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Provider Business Mailing Address
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Address Line | 349 S WALNUT ST
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City | BLOOMINGTON
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State | IN
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Zip | 47401-3511
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Country | US
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Telephone | 812-558-0041
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Fax | 812-334-5873
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Authorized Official
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Title or Position | SUPERINTENDENT/SCHOOL LEADER
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Name | CATHERINE DIERSING
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Credential |
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Telephone | 812-558-0041
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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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