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General NPI Number Information
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NPI Number | 1336458082
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Entity Type | Organization
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Legal Business Name | ROCK CREEK COMMUNITY ACADEMY
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Dates
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Enumeration Date | 09/29/2010
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Last Update Date | 09/29/2010
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Provider Practice Location Address
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Address Line | 11515 HIGHWAY 31
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City | SELLERSBURG
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State | IN
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Zip | 47172-9618
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Country | US
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Telephone | 812-246-9271
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Fax | 812-246-0722
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Provider Business Mailing Address
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Address Line | 11525 HIGHWAY 31
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City | SELLERSBURG
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State | IN
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Zip | 47172-9618
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Country | US
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Telephone | 812-246-9271
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Fax | 812-246-0722
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Authorized Official
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Title or Position | TREASURER
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Name | MS. SUSAN J MIDDLE
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Credential |
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Telephone | 812-246-9271
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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 | 9875
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License Number State | IN
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